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COWQJQAG8 (2)
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2500 – Emergency Response Program
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COWQJQAG8 (2)
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Last modified
3/23/2022 4:20:43 PM
Creation date
3/23/2022 4:14:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COWQJQAG8
PE
2546
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02519014
ENTERED_DATE
4/19/2021 12:00:00 AM
SITE_LOCATION
15237 N THORNTON
RECEIVED_DATE
4/19/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN COPY Environmental Health Department <br /> <br />CCUNJ Y <br /> <br />EMERGENCY LEVEL: <br />El I - No Evacuation/Local Response Only <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br />111 II - Evacuation and/or In-County Mutual Aid Neede <br /> <br />1=1 Ill - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION <br /> <br />RECORD ID COW J AG8 <br />Name: DAVID WHITE Phone: (417) 521-3830 <br />Company: PRIME INC City: SPRINGFIELD, MO <br />Address: 2740 N MAYFAIR AVE <br />Designated Employee: Elianna Florida <br />Reporting Agency: San Joaquin County Environmental Health Department <br />Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br />___...._.... _ _..._ _. <br />Location - Best <br />Physical Description: <br />___.....___ <br />FLYING J, 15237 N THORNTON LODI, CA 95242 City: LODI <br />D Incorporated El Unincorporated <br />Date of Discharge: April 18, 2021 Date Notified: April 18, 2021 Time Notified: 10:30 pm <br />Name of Business: PRIME INC <br />Contact Person: DAVID WHITE Contact Phone: (417) 521-3830 <br />Mailing Address: 2740 N MAYFAIR AVE <br />City: SPRINGFIELD State: MO ZIP: 65803 <br />--.... .._.. <br />Material: DIESEL FUEL Amount: 50.00 0 lbs El gal D cu ft <br />Type of Discharge: SPILL <br />Circumstances: FUEL LINE ON A TRACTOR TRAILER BROKE <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />RESPONSIBLE PARTY HIRED ENVIRONMENTAL COMPANY TO CONDUCT CLEAN-UP. EHD FOUND CLEAN-UP TO BE <br />INCOMPLETE. EHD VERIFIED ON-SITE FACILITY PERSONNEL COMPLETED CLEAN-UP. <br />SITE DISPOSITION <br />RESPONSIBLE PARTY TO PROVIDE EHD VVITH WASTE DISPOSAL RECORDS. <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/EHD
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