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COTZEIVJD
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COTZEIVJD
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Entry Properties
Last modified
4/11/2023 2:27:02 PM
Creation date
4/11/2023 11:59:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTZEIVJD
PE
2546
FACILITY_NAME
FARMERS AND MERCHANTS BANK
STREET_NUMBER
201
Direction
W
STREET_NAME
EDISON
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21728004
ENTERED_DATE
4/26/2022 12:00:00 AM
SITE_LOCATION
201 WEST EDISON ST, MANTECA, CA 95336
RECEIVED_DATE
4/26/2022 12:00:00 AM
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />COUN I <br />EMERGENCY RESPONSE RECORD <br />Date: April 26, 2022 Short Term #. <br />City: <br />Cross Street: <br />COTZEIVJD <br />Premise Address: <br />Premise DBA: <br />201 W EDISON ST <br />FARMERS AND MERCHANTS BANK <br />MANTECA <br />MAIN <br />Premise Owner: FARMERS AND MERCHANTS BANK Owner's Phone: <br />Mailing Address: PO BOX 3000 Owner City: LODI <br />Facility Contact: FARMERS AND MERCHANTS BANK Contact Phone: <br />RP DBA: FARMERS AND MERCHANTS BANK <br />Onsite RP Name: FARMERS AND MERCHANTS BANK Onsite RP Phone: <br />Mailing Address: PO BOX 3000 RP City: LODI <br />RP Contact: JOSEPH RENDON Contact Phone: (209) 337-6026 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />2 GALLONS OF OIL ON THE GROUND OF PARKING LOT. RELEASE CAUSED BY VEHICLE RUNNING OVER <br />BOULDER AND PUNCTURING OIL PAN. NO WATERWAYS IMPACTED. <br />Time Received: 11:18 am Time of Arrival: 11:50 am Time of Departure 12:30 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Lydia Baker SJC EHD (209) 616-3046 <br />Kristina Saetern SJC EHD (209) 616-3045 <br />Gabriela Garcia-Mejia SJC EHD (209) 616-3037 <br />Joseph Rendon F&M Bank (209) 337-6026 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (dal) GAS (Cu ft) COMMENTS <br />PETROLEUM 2.00 0 0 LI <br />El 0 III <br />0 0 E <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: April 26, 2022 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD' COMPLETED? DYES LINO <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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