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CO0054190 (2)
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2500 – Emergency Response Program
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CO0054190 (2)
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Last modified
3/23/2022 2:15:13 PM
Creation date
3/23/2022 2:10:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054190
PE
2546
FACILITY_NAME
WALGREENS
STREET_NUMBER
14780
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19608077
ENTERED_DATE
8/24/2021 12:00:00 AM
SITE_LOCATION
14780 S HARLAN RD
RECEIVED_DATE
8/24/2021 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN <br />co N Y <br />copy Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # CAD <br />1:11 - No Evacuation/Local Response On <br /> El ii - Evacuation and/or In-County Mutual Aid Neede CI iii - Evacuation and/or State/Regional Mutual Aid Neede <br />SOURCE OF INFORMATION: RECORD ID: C00054190 <br />Name: CAPTAIN ANTHONY SCARPER Phone: (209) 941-5135 <br />Company: MANTECA LATHROP FD City: <br />Address: <br />Designated Employee: Elianna Florido <br />Reporting Agency: San Joaquin County Environmental Health Department <br />Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br />LOCATION AND DATE OF DISCHARGE: <br />Location - Best BEHIND WALGREENS AT 14780 S HARLAN RD, LATHROP, CA <br />Physical Description: <br />City: LATHROP <br />0 Incorporated El Unincorporated <br />Date of Discharge: August 24, 2021 Date Notified: August 24, 2021 Time Notified: 44)0 Pir) <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: WALGREENS <br />Contact Person: KEVIN ANDERSON / YVES THOMAS Contact Phone: (916) 205-0456 <br />Mailing Address: ATTN: KEVIN ANDERSON, 2370 E MAIN ST <br />City: WOODLAND State: CA ZIP: 95776 <br />DESCRIPTION <br />Material: DIESEL FUEL Amount: 10.00 1111bs 0 gal LI cu ft <br />Type of Discharge: SPILL <br />Circumstances: TRUCK STRUCK POLE <br />Material: Amount: El lbs El gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs El gal Illcu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />EHD VERIFIED ENVIRONMENTAL CLEAN-UP COMPANY COMPLETED CLEAN-UP ON 8/24/2021. <br />SITE DISPOSITION <br />RESPONSIBLE PARTY TO SUBMIT FINAL WASTE DISPOSAL RECORDS TO EHD. <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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