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COZ7GX9I6
EnvironmentalHealth
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2500 – Emergency Response Program
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COZ7GX9I6
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Last modified
3/9/2023 3:47:07 PM
Creation date
3/9/2023 3:46:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COZ7GX9I6
PE
2546
STREET_NUMBER
1025
STREET_NAME
SEA BREEZE
STREET_TYPE
DR
City
RIPON
Zip
95366
APN
26153044
ENTERED_DATE
10/11/2022 12:00:00 AM
SITE_LOCATION
1025 SEA BREEZE DR RIPON
RECEIVED_DATE
10/11/2022 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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SANIOAQUIN COPY <br /> Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br />El ii <br /> <br />- Evacuation and/or In-County Mutual Aid Neede El iii - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: • <br />Name: ANONYMOUS <br />.,.... <br />Phone: <br />Company: 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 AT THE RESIDENCE OF 1025 SEA BREEZE DR RIPON. <br />Physical Description: <br />City: RIPON <br />0 Incorporated 0 Unincorporated <br />Date of Discharge: October 03, 2022 Date Notified: October 11, 2022 Time Notified: 12:40 pm <br />RESPONSIBLE PERSONI/BUSINESS <br />Name of Business: MD SMITH HEATING AND COOLING <br />Contact Person: MATT SMITH Contact Phone: (209) 495-7226 <br />Mailing Address: 1317 ANGIE AVE <br />City: MODESTO State: CA ZIP: 95351 <br />DESCRIPTION <br />Material: FREON Amount: 4.50 0 lbs 0 gal 0 cu ft <br />Type of Discharge: RELEASED <br />Circumstances: DUE TO THE REPLACEMENT OF AN AIR CONDITIONING UNIT <br />Material: Amount: 1=1 lbs 0 gal 0 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 />RELEASE STOPPED. <br />SITE DISPOSITION <br />EHD WILL FOLLOW UP WITH HOMEOWNER AND CONTRACTING COMPANY. <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 <br />EMERGENCY LEVEL: <br />NI - No Evacuation/Local Response Only
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