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COF49CV7Q
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2500 – Emergency Response Program
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COF49CV7Q
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Last modified
3/21/2023 12:01:07 PM
Creation date
3/21/2023 12:00:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COF49CV7Q
PE
2546
STREET_NUMBER
3331
STREET_NAME
CLEMENT
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
10915021
ENTERED_DATE
4/26/2022 12:00:00 AM
SITE_LOCATION
3331 CLEMENT AVE
RECEIVED_DATE
4/25/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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<br />Environmental Health Department SANJOAQUIN <br />-COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: April 25, 2022 Short Term #: COF49CV7Q <br />Premise Address: 3331 CLEMENT AVE City: STOCKTON <br />Premise DBA: Cross Street: WISCONSIN <br />Premise Owner: ELWOOD & PAT WILKINSON Owner's Phone: (209) 464-8340 <br />Mailing Address: 3331 CLEMENT Owner City: STOCKTON <br />Facility Contact: ELWOOD & PAT WILKINSON Contact Phone: (209) 464-8340 <br />RP DBA: <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: RP City: <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />STRONG CHEMICAL ODOR IN THE AIR RESULTING IN HEALTH IMPACTS ON THEMSELVES AND THEIR FAMILY <br />MEMBERS. THIS HAS BEEN AN ISSUE FOR TWO WEEKS. <br />Time Received: 3:53 pm Time of Arrival: 9:45 am Time of Departure: 10:07 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Lydia Baker SJC EHD (209) 616-3046 9:45 am 10:07 am <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (cu ft) COMMENTS <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD' COMPLETED? OYES 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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