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COUMZRPXT (2)
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COUMZRPXT (2)
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Last modified
2/8/2022 3:25:29 PM
Creation date
2/8/2022 3:22:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COUMZRPXT
PE
2546
STREET_NUMBER
4447
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
Zip
95206
APN
17728033
ENTERED_DATE
6/14/2021 12:00:00 AM
SITE_LOCATION
4447 S AIRPORT WAY
RECEIVED_DATE
6/13/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN <br />--COUNTY <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br />Date: June 13, 2021 Short Term #: COUMZRPXT <br />Premise Address: 4447 S AIRPORT WAY City: <br />Premise DBA: Cross Street: BOEING WAY <br />Premise Owner: DR3 MATTRESS RECYCLING Owner's Phone: <br />Mailing Address: 160W SANTA CLARA ST #900 Owner City: SAN JOSE <br />Facility Contact: SALINAS VALLEY CORP Contact Phone: <br />RP DBA: DR3 MATTRESS RECYCLING <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: 160 W SANTA CLARA ST #900 RP City: STOCKTON <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />FACILITY FIRE IMPACTED 12 FIVE-GALLON PROPANE TANKS, THREE BALERS EACH CONTAINING <br />APPROXIMATELY 25 GALLONS HYDRAULIC FLUID, ONE OUT-OF-SERVICE FORKLIFT, AND ONE VEHICLE. <br />Time Received: 7:30 AM <br /> <br />Time of Arrival: 9:08 AM <br /> <br />Time of Departure: 9:35 AM <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Claudia Muro <br />SJC EHD <br /> <br />209-561-8923 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (cu ft) COMMENTS <br />0 E 0 <br />0 E 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 1 Stockton, California 95205 I T 209 468-34201 F 209 464-0138 I www.sjgov.org/EHD
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