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CO0054075 (2)
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2500 – Emergency Response Program
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CO0054075 (2)
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Last modified
1/5/2022 3:07:04 PM
Creation date
1/5/2022 3:05:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054075
PE
2546
STREET_NUMBER
14860
Direction
N
STREET_NAME
WELLS
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06103011
ENTERED_DATE
7/26/2021 12:00:00 AM
SITE_LOCATION
14860 N WELLS LN
RECEIVED_DATE
7/26/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN ,JOAQU1N <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: July 26, 2021 Short Term #: C00054075 <br />Premise Address: 14860 N WELLS LN City: LODI <br />Premise DBA: Cross Street: KETTLEMAN <br />Premise Owner: JON D TR TECKLENBURG Owner's Phone: <br />Mailing Address: 14860 N WELLS LN Owner City: LODI <br />Facility Contact: JON D TR TECKLENBURG Contact Phone: <br />RP DBA: <br />Onsite RP Name: JOHN D TR TECKLENBURG Onsite RP Phone: <br />Mailing Address: 7509 E. KETTLEMAN RP City: LODI <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />HOARDING, EXCESSIVE JUNK, AND DILAPIDATED STRUCTURES. LEAKING AD CHEMICALS, PAINT AND OIL. <br />FRONT HOUSE IS BEING RENTED. CONTACT STEVE THOMAS AT CODE ENFORCEMENT FOR A JOINT <br />INSPECTION, CS-2101255 <br />Time Received: Time of Arrival: 10:30 am Time of Departure: 11:00 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />VICKY VANG-LEE EHD (209) 616-3028 10:30 am 11:00 am <br />FRED ERNEST EHD (209) 616-3026 10:30 am 11:00 am <br />STEVE THOMAS CODE ENFORCEMENT (209) 468-8396 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: 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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