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CO0055513
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2500 – Emergency Response Program
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CO0055513
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Entry Properties
Last modified
4/7/2023 4:07:31 PM
Creation date
4/7/2023 3:50:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055513
PE
2546
STREET_NUMBER
1553
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
ENTERED_DATE
1/12/2023 12:00:00 AM
SITE_LOCATION
1553 COLONY RD
RECEIVED_DATE
1/12/2023 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\bmascaro
Tags
EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: January 12, 2023 Short Term #: C00055513 <br />Premise Address: 1553 W COLONY RD City: RIPON <br />Premise DBA: LOVES COUNTRY STORES #22 Cross Street: JACK TONE RD <br />Premise Owner: LOVES COUNTRY STORES OF CAL INC Owner's Phone: <br />Mailing Address: 15 W 6th ST #2400 Owner City: TULSA <br />Facility Contact: LOVES COUNTRY STORES OF CAL INC Contact Phone: <br />RP DBA: LOVE'S COUNTRY STORES OF CALIFORNIA <br />Onsite RP Name: NEIL WILLIAMS Onsite RP Phone: (209) 599-0740 <br />Mailing Address: P.O BOX 26210 RP City: OKLAHOMA CITY <br />RP Contact: JESSIE DAIZ Contact Phone: (405) 687-1060 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />ENGINE OIL - SPILL - 10 GALLONS <br />Time Received: 6:01 am Time of Arrival: 7:12 am Time of Departure: 8:00 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Paul Nso EHD (209) 616-3059 7:12 am 8:00 am <br />Neil VVillams Loves Country Stores (209) 599-0740 <br />Lupe Baeza Patriot Environmental (707) 672-5507 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ftl COMMENTS <br />Motor oil 10.00 0 0 0 <br />0 0 El <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: January 12, 2023 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES 11NO <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 vvww.sjgov.org/EHD
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