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CO0054668
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CO0054668
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Last modified
4/27/2023 4:21:45 PM
Creation date
4/27/2023 3:34:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054668
PE
2546
STREET_NUMBER
828
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03315049
ENTERED_DATE
2/8/2022 12:00:00 AM
SITE_LOCATION
828 S FAIRMONT AVE, LODI
RECEIVED_DATE
2/8/2022 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
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EHD - Public
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SAUOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: February 08, 2022 Short Term #: C00054668 <br />Premise Address: 828 S FAIRMONT ST City: LODI <br />Premise DBA: Cross Street: SYLVIA DR <br />Premise Owner: CITY OF LODI Owner's Phone: (209) 333-6700 <br />Mailing Address: 221 W PINE ST Owner City: LODI <br />Facility Contact: CITY OF LODI Contact Phone: <br />RP DBA: CENTRAL VALLEY WASTE SERVICES <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: 1333 E TURNER RD RP City: LODI <br />RP Contact: ERIC MANKINS Contact Phone: (209) 275-5441 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />10 GALLONS OF HYDRAULIC FLUID FROM MAIN HYDRAULIC LINE FROM FUEL PUMP <br />Time Received: 9:45 am Time of Arrival: 10:45 am Time of Departure: 12:00 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Paul Nso EHD (209) 616-3049 10:45 am 12:00 pm <br />Fabian Speed Central Valley Waste (209) 275-5441 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal). GAS (cu ft) COMMENTS <br />Hydraulic Oil 10.00 D E 0 <br />0 0 0 <br />0 D 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: February 08, 2022 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES NO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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