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CO0053744 (2)
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CO0053744 (2)
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Last modified
11/19/2024 10:36:08 AM
Creation date
2/8/2022 1:41:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053744
PE
2546
STREET_NUMBER
0
Direction
N
STREET_NAME
I-5
City
LODI
APN
NEAR 05512008
ENTERED_DATE
4/30/2021 12:00:00 AM
SITE_LOCATION
NORTH BOUND I-5 SOUTH OF HWY 12
RECEIVED_DATE
4/30/2021 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Global Response Operations Center <br />(800) 899-4672 En-)cil crocVvsecolocav.com <br />3418 S. Gilbert Road / Grand Prairie, TX 75050 INCIDENT REPORT US ecology <br />Thursday, July 29, 2021 <br />Mr. Donald Clowes <br />AAA NCNC <br />2381 Gold River Rd <br />Sacramento, CA 95670 <br />Reference: Incident Report - US Ecology Project No. 166456 — Site Location: NB 1-5 @ M.M. 36.5, Lodi, CA <br />Dear Mr. Clowes: <br />The following incident report summarizes the work conducted by US Ecology (USE) on the above referenced project. <br />Outlined herein are the following details: <br />Sections <br />General Incident Information <br />Incident Location and Contact Information <br />Release Information <br />Activity Log <br />Waste Disposal Activity <br />Conclusion / Recommendation(s) <br />Attachments <br />Attachment A — Photos <br />Attachment B — Waste Documentation <br />Attachment C — Other (Analytical Data, Maps, Etc.) <br />Thank you for utilizing US Ecology. Our goal is to provide you with the safest and highest quality response from the initial <br />call to final incident report. If you have any questions or need additional information, please contact the Report Preparer <br />identified below. Thank you again for using US Ecology. <br />Respectfully, <br />US Ecology, Inc. <br />Prepared by <br />Name: <br />Title: <br />Street Address: <br />City, State, Zip <br />Phone: <br />Email: <br />Signature: <br />Dewayne Liles <br />Project Manager <br />1605 Ferry Point <br />Alameda, CA 94501 <br />510 671 4325 <br />Dewayne.liles@usecology.com <br />Click or tap here to enter text. <br /> <br />Incident Report Form_Version 0
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