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COVEGSHNN (2)
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2500 – Emergency Response Program
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COVEGSHNN (2)
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Last modified
3/23/2022 4:03:04 PM
Creation date
3/23/2022 3:55:34 PM
Metadata
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Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COVEGSHNN
PE
2546
STREET_NUMBER
3031
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
14502007
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
3031 NAVY DR
RECEIVED_DATE
1/12/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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TOA TOD NAME PHONE AGENCY <br />YARA NORTH AMERICA INC (916) 425-9122 MICHAEL ANDERSON <br />1:11 pm 3:13 pm (209) 561-8923 SJCEHD CLAUDIA MURO <br />AMOUNT MATERIAL SOLID (lbs) LIQUID (gall GAS (Cu ft), COMMENTS <br />262.00 CN-9 FERTILIZER <br />MATERIAL / CLASSIFICATION (chemical involved) <br />0 <br />SAN JOAQUIN <br /> Environmental Health Department <br />- COUNTY - <br />EMERGENCY RESPONSE RECORD <br /> <br />Date: January 12, 2021 Short Term #: COVEGSHNN <br /> <br />Premise Address: 3031 NAVY DR City: STOCKTON <br /> <br />Premise DBA: YARA NORTH AMERICA INC Cross Street: WASHINGTON <br /> <br />Premise Owner: STOCKTON, PORT DISTRICT Owner's Phone: <br /> <br />Mailing Address: 2201 W WASHINGTON ST Owner City: STOCKTON <br /> <br />Facility Contact: STOCKTON, PORT DISTRICT Contact Phone: <br /> <br />RP DBA: YARA NORTH AMERICA INC <br /> <br />Onsite RP Name: MICHAEL ANDERSON <br /> <br />Onsite RP Phone: (916) 425-9122 <br /> <br />Mailing Address: 3031 NAVY DR <br /> <br />RP City: STOCKTON <br /> <br />RP Contact: MICHAEL ANDERSON <br /> <br />Contact Phone: (916) 425-9122 <br /> <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />APPROXIMATELY 262 GALLONS OF CN-9 FERTILIZER SPILLED ONTO PAVEMENT, STORM DRAIN, AND ON-SITE <br />RETENTION POND. <br />Time Received: 12:07 pm Time of Arrival: 1:11 pm Time of Departure: 3:13 pm <br />PERSONS AT SCENE <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: January 13, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? EYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD
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