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CO0055520
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0055520
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Last modified
3/17/2023 4:50:42 PM
Creation date
3/17/2023 4:49:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055520
PE
2546
STREET_NUMBER
1330
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13522303
ENTERED_DATE
1/13/2023 12:00:00 AM
SITE_LOCATION
1330 W ACACIA ST, STOCKTON, CA95203
RECEIVED_DATE
1/12/2023 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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20.00 MINERAL OIL <br />MATERIAL / CLASSIFICATION (chemical involved) <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft l COMMENTS <br /> <br />LII <br />DATE MAILED REFERRED TO (NAME AND ADDRESS) <br />Date UAR Completed: Date Prop 65 Completed January 13, 2023 <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECOREI COMPLETED? OYES LINO <br /> <br />Environmental Health Department <br />SAN JOAQUIN <br />L..uu N <br />EMERGENCY RESPONSE RECORD <br />Date: January 12, 2023 Short Term #: C00055520 <br />Premise Address: 1330 W ACACIA ST City: STOCKTON <br /> <br />Premise DBA: Cross Street: N. PERSHING AVE. <br /> <br />Premise Owner: CHIN HSIU CHEN YANG Owners Phone: <br />Mailing Address: 20985 GARDEN GATE DRIVE Owner City: CUPERTINO <br />Facility Contact: CHIN HSIU CHEN YANG Contact Phone: <br />RP DBA: PG&E <br /> <br />Onsite RP Name: PG&E Onsite RP Phone: <br /> <br />Mailing Address: PO BOX 997300 RP City: SACRAMENTO <br /> <br />RP Contact: DAVE LARSEN Contact Phone: (209) 401-9719 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />PER ALEX STEELE TRANSFORMER SPILL WAS REPORTED IN THE BACKYARD AT 1330 ACACIA ST STOCKTON, <br />C95203. 20 GALLON OF OIL LEAKED FROM TWO TRANSFORMERS BECAUSE A TREE FELL ON THEM. PER DAVE <br />LARSON TRANSFORMER IS BLUE STICKERED AND BELIEVED TO BE NON PCB. <br />Time Received: 8:00 am Time of Arrival: 11:30 am Time of Departure: 12:50 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA LQp_ <br />DAVE LARSEN PG&E (209) 401-9719 <br />NICK LOEHRER EHD (209) 468-0623 11:30 am 12:50 pm <br />GABY GARCIA EHD (209) 616-3037 11:30 am 12:50 pm <br />REFERRALS AND NOTIFICATIONS <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 www.sjgov.org/EHD
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