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COKUZ0GKR
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COKUZ0GKR
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Last modified
3/7/2023 3:42:07 PM
Creation date
3/7/2023 3:39:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COKUZ0GKR
PE
2546
STREET_NUMBER
302
STREET_NAME
KELLEY MIST
STREET_TYPE
CT
City
TRACY
Zip
95377
APN
24834057
ENTERED_DATE
12/28/2021 12:00:00 AM
SITE_LOCATION
302 KELLEY MIST CT
RECEIVED_DATE
12/28/2021 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: December 28, 2021 Short Term #: COKUZOGKR <br />Premise Address: 302 KELLEY MIST CT City: TRACY <br />Premise DBA: Cross Street: OAKRIDGE DR <br />Premise Owner: LINDA SEMO Owner's Phone: (209) 321-8754 <br />Mailing Address: 302 KELLEY MIST CT Owner City: TRACY <br />Facility Contact: LINDA SEMO Contact Phone: (209) 321-8754 <br />RP DBA: <br />Onsite RP Name: LINDA SEMO Onsite RP Phone: (209) 321-8754 <br />Mailing Address: 302 KELLEY MIST CT RP City: TRACY <br />RP Contact: LINDA SEMO Contact Phone: (209) 321-8754 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />WHILE CHANGING THE OIL ON A VEHICLE 15 QUARTS OF DIESEL RELEASED 10 QUARTS REMOVED WITH <br />ABSORBENT 5 QUARTS WASHED INTO STORM DRAIN WITH A HOSE. <br />Time Received: 5:35 pm Time of Arrival: 6:15 pm Time of Departure: 7:45 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Paul Nso EHD (209) 616-3049 6:15 pm 7:45 pm <br />Ana Contreras CODE ENFORCEMENT (209) 814-8054 6:30 pm 7:45 pm <br />Larry Vickers Tracy Fire Dept (209) 601-3884 7:15 pm <br />Andy Sanasaver Tracy Fire Dept (209) 612-1561 7:15 pm <br />Officer Huvnh Tracy PD (209) 831-6550 7:30 pm <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />Diesel 3.75 0 0 0 <br />0 0 D <br />D D D <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: December 29, 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 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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