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COT0MJ2ZL (2)
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COT0MJ2ZL (2)
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Last modified
3/23/2022 3:52:51 PM
Creation date
3/23/2022 3:50:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COT0MJ2ZL
PE
2546
STREET_NUMBER
1234
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120016
ENTERED_DATE
1/31/2022 12:00:00 AM
SITE_LOCATION
1234 E YOSEMITE AVE
RECEIVED_DATE
1/31/2022 12:00:00 AM
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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<br />SAN,JOAQUIN <br />-COU N T <br />Greatness grows here <br />Environmental Health Department <br /> <br />Time In: <br />Time Out: <br /> <br />COMPLAINT INSPECTION REPORT <br />Name of Facility: CHEVRON STATION #209167 Date: 01/31/2022 <br />Address: 1234 E YOSEMITE AVE, MANTECA <br />Owner/Operator: CHEVRON USA INC Telephone: <br />Program Element: 2546 - RELEASE/SPILL RESPONSE (EXCLUDING JOINT TEAM) Complaint #: COTOMJ2ZL <br />Responsible Party Contact: DEBBIE ROWE <br />DESCRIPTION OF COMPLAINT ALLEGATIONS <br />The San Joaquin County Environmental Health Department received the following complaint: <br />Less than a gallon of gasoline released due to a spouting nozzle malfunction. <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Less than a gallon of gasoline was released onto the pavement. No storm drains or waterways impacted. Spill area was <br />cleaned with absorbent by facility employees. Waste was placed in drums on site and will be disposed of as hazardous waste <br />with regular pick-up. <br />Hazardous waste determination and disposal record for waste generated will be verified on next routine hazardous waste <br />inspection. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. Ifs reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Emailed to Debbie Rowe, UST Comp <br />EH Specialist: LYDIA BAKER Phone: (209) 616-3046 <br />COTOMJ2ZL SC544 01/31/2022 <br />EHD 25-01 Rev. 01/07/2021 Page 1 of 1 Complaint Inspection Report <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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