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2500 – Emergency Response Program
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COTTO0ND2
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Last modified
3/7/2023 2:59:12 PM
Creation date
3/7/2023 2:58:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTTO0ND2
PE
2546
FACILITY_NAME
TIKI LAGOONA MARINA
STREET_NUMBER
12988
Direction
W
STREET_NAME
MCDONALD
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
13102026
ENTERED_DATE
12/1/2021 12:00:00 AM
SITE_LOCATION
12988 W MCDONALD ROAD
RECEIVED_DATE
12/1/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Pf• <br />„ <br />.SANJOAQUIN <br />COUN1Y <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # <br />1=1 I - No Evacuation/Local Response Only 011- Evacuation and/or In-County Mutual Aid Neede Dm- Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: RECORD ID: COTTO0ND2 <br />Name: ANONYMOUS Phone: (800) 424-2411 <br />Company: NRC City: <br />Address: <br />Designated Employee: Paul Nso <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 />Location - Best <br />Physical Description: <br />DOCK E - BOAT SLIP #16 C-1 AT 12988 W MCDONALD RD City: STOCKTON <br />0 Incorporated El Unincorporated <br />Date of Discharge: November 30, 2021 Date Notified: November 30, 2021 Time Notified: 7:03 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: DAN DUMAS <br />Contact Person: DAN DUMAS Contact Phone: (510) 912-4276 <br />Mailing Address: 12988 W MCDONALD RD <br />City: STOCKTON State: CA ZIP: 95206 <br />DESCRIPTION <br />Material: DYED DIESEL Amount: pip 0 lbs El gal 0 cu ft <br />Type of Discharge: UNKNOWN AMOUNT OF DYED DIESEL LEAKING FROM ABANDON BOAT IN BOAT SLIP#16 <br />Circumstances: LEAK <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs LI gal LI Cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />BOOMS AND ABSORBENT PADS APPLIED ON AFFECT AREA <br />SITE DISPOSITION <br />CLEAN UP PENDING, EHD WILL FOLLOW UP CLEAN UP <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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