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CO0GMMPI9
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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CO0GMMPI9
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Last modified
3/21/2023 1:09:28 PM
Creation date
3/21/2023 1:08:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0GMMPI9
PE
2546
STREET_NUMBER
345
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333039
ENTERED_DATE
3/12/2023 12:00:00 AM
SITE_LOCATION
345 E ROTH RD
RECEIVED_DATE
3/11/2023 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY - <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # 0 /-1-Z--61 <br /> <br />- No Evacuation/Local Response Only <br /> 0 II - Evacuation and/or In-County Mutual Aid Neede U III - Evacuation and/or State/Regional Mutual Aid Needed <br /> <br />SOURCE OF INFORMATION. RECORD ID: COOGMMPI9 <br />Name: ERIC MORTIN Phone: (530) 518-3437 <br />Company: BROADBENT City: <br />Address: <br />Designated Employee: John Alaniz <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 RELEASE HAPPENED IN FRONT OF PUMP 8 AT 345 E ROTH <br />Physical Description: RD, FRENCH CAMP, APN 19333039 <br />City: FRENCH CAMP <br />11 Incorporated 0 Unincorporated <br />Date of Discharge: March 11, 2023 Date Notified: March 11, 2023 Time Notified: 11:18 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: FLYING J TRAVEL CENTER LATHROP - 1017 <br />Contact Person: JOEY CUPP Contact Phone: (865) 474-2826 <br />Mailing Address: 5508 LONAS ROAD <br />City: KNOXVILLE State: TN ZIP: 37909 <br />DESCRIPTION <br />Material: GASOLINE Amount: 5.00 0 lbs 11 gal Ocu ft <br />Type of Discharge: RELEASE FROM VEHICLE <br />Circumstances: RELEASE CAUSED BY FUEL ERROR <br />Material: Amount: 0 lbs 0 gal Ocu 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 />AN ENVIRONMENTAL CONTRACTOR WAS HIRED BY FLYING J TRAVEL CENTER TO CLEAN UP THE RELEASE. <br />SITE DISPOSITION <br />THE RELEASE WAS CLEANED UP BY THE ENVIRONMENTAL CONTRACTOR. <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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