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COPPAQCQZ (3)
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2500 – Emergency Response Program
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COPPAQCQZ (3)
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Entry Properties
Last modified
11/20/2024 9:09:21 AM
Creation date
10/19/2021 1:35:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COPPAQCQZ
PE
2546
FACILITY_NAME
ROADSIDE
STREET_NUMBER
0
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
13111008
ENTERED_DATE
8/4/2021 12:00:00 AM
RECEIVED_DATE
8/4/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: August 04, 2021 Short Term #: COPPAQCQZ <br />Premise Address: HVVY 4 City: STOCKTON <br />Premise DBA: MICKEY'S TRANSPORT LLC Cross Street: TRACY BLVD <br />Premise Owner: CALTRANS Owner's Phone: (209) 483-3088 <br />Mailing Address: PO BOX 2048 Owner City: STOCKTON <br />Facility Contact: JUAN ARMENDAREZ Contact Phone: (209) 483-3088 <br />RP DBA: MIKEY'S TRANSPORT LLC <br />Onsite RP Name: MIGUELRODRIGUEZ Onsite RP Phone: (707) 580-1433 <br />Mailing Address: 1861 ROCKVILLE RD RP City: FAIRFIELD <br />RP Contact: MIGUEL RODRIGUEZ Contact Phone: (707) 580-1433 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />BIG RIG CRASHED INTO AN UNNAMED CANAL AND IS DISCHARGING FUEL INTO THE WATERWAY <br />Time Received: 7:02 am Time of Arrival: 8:20 am Time of Departure: 2:30 pm <br />NAME AGENCY PHONE TOA TOD <br />SERGEANT CRUTCHFIELD CHP (209) 938-4800 <br />JUAN ARMENDAREZ CALTRANS (209) 483-3088 <br />MIGUEL RODRIGUEZ MIKEY'S TRANSPORT (707) 580-1433 <br />JOSE COLIN PONDER ENVIRONMENTAL (707) 400-4017 <br />LONNIE JONES COAST GUARD (510) 697-9664 <br />v d <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />DIESEL 80.00 0 0 0 <br />11 0 0 <br />El 0 0 <br />D NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) <br />I <br />DATE MAILED <br />Date Prop 65 Completed: August 05, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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