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COXH4Z1WO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2500 – Emergency Response Program
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COXH4Z1WO
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Last modified
5/2/2023 1:21:42 PM
Creation date
5/2/2023 1:19:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COXH4Z1WO
PE
2546
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811027
ENTERED_DATE
12/14/2022 12:00:00 AM
SITE_LOCATION
1501 N JACKTONE RD, RIPON CA 95366
RECEIVED_DATE
12/14/2022 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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Complaint Investigation Summary <br /> Report* 5105 <br />COMPLAINT ID: COXH4Z1W0 Site Location: 1501 N JACKTONE RD, RIPON CA 95366 <br />Received by: EE0009863 GARCIA-MEJIA <br /> <br />Received Date: 12/14/2022 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0009863 GARCIA-MEJIA <br /> <br />Assigned Date: 12/14/2022 <br />Program/Element Code 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />FREIGHT LINER HIT DISPENSER OFF ITS BASE AND CAUSED APPROXIMATELY 3 GALLONS TO SPILL ONTO THE CONCRETE. SPILL WAS <br />CLEANED UP BY STAFF ON SITE. NO WATERWAYS OR STORM DRAINS WERE IMPACTED. <br />PROPERTY INFORMATION <br />Property Name: FLYING J <br />Site Location 1501 N JACK TONE RD <br /> District 005 - RICKMAN, ROBERT <br />RIPON, CA 95366 <br /> Location Code 05 - RIPON <br />Cross Street SANTOS AVENUE <br /> APN 22811027 <br />Complaint Status: 0\ <br />Date Abated <br /> 93 Abated By: 604e-tip% <br />Activity Summary <br />EHD received CalOES spill report (#22-7314) on 12/13/2022. Spill occurred at <br />1501 N Jacktone Rd, Ripon CA 95366 at dispenser #26. Approximately 3 gallons <br />of diesel were released. Clean up was completed by staff on site and waste <br />generated was stored in their hazardous waste drums. <br />12/14/2022 Generated Prop 65 and provided it to John to be reviewed, printed and mailed. <br />1:55pm-Left for site <br />2:30pm-Arrived on site on 12/14/22 and observed fuel inside the UDC of <br />dispenser 26. Per Amy Fergel, store manager, it was approximately half a gallon <br />of diesel. <br />Activity Date <br />12/13/2022 <br />Recorded by <br />GARCIA-MEJIA <br />GARCIA-MEJIA <br />3:50-5pm-Left site. Generated complaint and issued the facility a notice to abate. <br />Emailed the notice to both Chip Hughes <Chip.Hughes@pilottravelcenters.com> <br />and Amy Fergel <travelcenter.618@pilottravelcenters.com>. <br />12/15/2022 Saved photos to the public drive and added the complaint number to the ER spill <br />excel sheet. Created photo log and printed it out along with the notice to abate and <br />added it to the complaint file. <br />01/24/2023 Received a call from Aric Morton (530-518-3437) wanting to know what I needed <br />in order to abate this complaint. I confirmed with Aric that he was forwarded the <br />notice to abate that I issued and let him know that the violations listed are what <br />needs to be addressed. Aric was under the impression that Jones Covey had <br />completed all repairs the night the spill was reported. I informed Aric that I was on <br />site on 12/14/22 in the afternoon and observed issues and that is why the notice to <br />abate was issued. <br />03/10/2023 Reviewed narratives. Permit was pulled under 5R0086196. Printed out 5104 <br />form and added it to the file. <br />04/24/2023 Service request (SR0086196) was completed on 4/21/23. Completed an <br />emergency response record and printed out the CalOES spill report. I printed out <br />all other forms and abated the complaint. <br />GARCIA-MEJIA <br />GARCIA-MEJIA <br />GARCIA-MEJIA <br />GARCIA-MEJIA <br />5105 rpt Page 1 of 1
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