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COKUZ0GKR
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KELLEY MIST
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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
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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SAN ,JOAQUIN <br /> C •.Py Environmental Health Department <br />COUNTY- <br />EMERGENCY LEVEL: <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br /> <br />El I - No Evacuation/Local Response Only <br /> Oil- Evacuation and/or In-County Mutual Aid Neede Diii- Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: RECORD ID: COKUZOGKR <br />Name: ANDY SANVAVER Phone: (209) 612-1561 <br />Company: SOUTH COUNTY FIRE City: TRACY <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 DRIVEWAY AT 302 KELLEY MIST CT TRACY <br />Physical Description: <br />City: TRACY <br />I=1 Incorporated CI Unincorporated <br />Date of Discharge: December 28, 2021 Date Notified: December 28, 2021 Time Notified: 5:35 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: RESIDENTIAL PROPERTY <br />Contact Person: LINDA SEMO Contact Phone: (209) 321-8754 <br />Mailing Address: 302 KELLEY MIST CT <br />City: TRACY State: CA ZIP: 95377 <br />DESCRIPTION <br />Material: Diesel Amount: 3.75 El lbs E gal 0 cu ft <br />Type of Discharge: SPILL <br />Circumstances: WHILE CHANGING THE OIL ON A VEHICLE <br />Material: Amount: CI lbs D gal III cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: [II lbs 111 gal ID cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />STREET GUTTER CLEAN UP COMPLETED. KIT LITTER APPLIED ON DRIVE WAY AFFECTED AREAS <br />SITE DISPOSITION <br />DRIVEWAY SIDEWALK CLEAN UP PENDING EHD WILL FOLLOW UP CLEAN UP <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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