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COPIZFYSK (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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COPIZFYSK (2)
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Last modified
7/1/2022 4:43:02 PM
Creation date
7/1/2022 4:37:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COPIZFYSK
PE
2546
FACILITY_NAME
KING ISLAND MARINA
STREET_NUMBER
11530
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
07119006
ENTERED_DATE
4/6/2022 12:00:00 AM
SITE_LOCATION
11530 W EIGHT MILE ROAD
RECEIVED_DATE
4/5/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br />Environmental Health Department <br />N TY <br /> <br />EMERGENCY RESPONSE RECORD <br />Date: April 05, 2022 Short Term #: COPIZFYSK <br />Premise Address: 11530 WEIGHT MILE RD City: STOCKTON <br />Premise DBA: KING ISLAND MARINA Cross Street: ATHERTON <br />Premise Owner: KING ISLAND MARINA Owner's Phone: (209) 477-5364 <br />Mailing Address: 5435 HILLTOP CRESCENT Owner City: ACAMPO - <br />Facility Contact: KING ISLAND TRAILER PARK & REC CO Contact Phone: (209) 477-5364 <br />RP DBA: <br /> <br />Onsite RP Name: TONY ROMERO <br /> Onsite RP Phone: (209) 910-1460 <br />Mailing Address: 11530 WEIGHT MILE RD <br /> <br />RP City: STOCKTON <br />RP Contact: TONY ROMERO <br /> Contact Phone: (209) 910-1460 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />PARTIALLY SUBMERGED BOAT, NO RELEASE <br />Time Received: 2:53 pm Time of Arrival: 12:36 pm Time of Departure: 1:00 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br /> <br />VICKY VANG-LEE <br /> <br />EHD <br /> (209) 616-3028 <br /> 12:36 pm 1:00 pm <br />ANNIE HOLDEN <br /> <br />KING ISLAND MARINA (209) 477-5364 <br />TONY ROMERO <br /> <br />BOAT OWNER (209) 910-1460 <br />MATERIAL! CLASSIFICATION (chemical involved) <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />E <br />I=1 I=1 1=1 <br />REFERRALSAND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES EINO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209468-34201 F 209 464-0138 I www.sjgov.org/EHD
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