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CO6XWAI21 (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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CO6XWAI21 (2)
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Last modified
6/29/2022 4:26:21 PM
Creation date
6/29/2022 4:21:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO6XWAI21
PE
2546
FACILITY_NAME
WASTE MANAGEMENT
STREET_NUMBER
1102
STREET_NAME
CHIANTI
STREET_TYPE
DR
City
LODI
Zip
95242
APN
06005210
ENTERED_DATE
3/22/2022 12:00:00 AM
SITE_LOCATION
1102 CHIANTI DRIVE
RECEIVED_DATE
3/22/2022 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Environnienta PVcip <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br />Evacuation and/or In-County Mutual Aid Needed <br />III - Evacuation and/or State/Regional Mutual Aid Needed <br />Location - Best 1102 CHIANTI DRIVE IN FRONT OF THE HOUSE ON THE City: LODI <br />Physical Description: ASPHALT INTO BACK PARKING LOT OF CVS PHARMACY El Incorporated 0 Unincorporated <br />Date of Discharge: March 22, 2022 Date Notified: March 22, 2022 <br /> <br />Time Notified: 5:25 pm <br />. 4, <br />SAN JOAQUIN <br />COUNTY— <br />EMERGENCY LEVEL: <br />El I - No Evacuation/Local Response Only <br />SOURCE OF INFORMATION: <br />Name: HENRY FONTES Phone: (209) 313-4817 <br />Company: WASTE MANAGEMENT City: LODI <br />Address: 133 E TURNER RD <br />Designated Employee: Kristina Saetem <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 />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: WASTE MANAGEMENT <br />Contact Person: HENRY FORTES <br />Contact Phone: (209) 313-4817 <br />Mailing Address: 133 E TURNER RD <br />City: LODI <br /> State: CA <br /> ZIP: 95240 <br />T ON <br />Material: COOLANT Amount: 2.00 0 lbs 18I gal 0 cu ft <br />Type of Discharge: RELEASE FROM COOLANT HOSE <br />Circumstances: CLEAN UP RESPONSE TO RELEASE <br />Material: Amount: 0 lbs E gal III 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 CLEANED UP COOLANT <br />SITE DISPOSITION <br />CLEAN UP IS COMPLETE <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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