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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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1501
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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
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />I .1 <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: <br />No Evacualion/Local Response Only <br /> <br />EHD LOG # 22-143 <br />LI II - Evacuation and/or In-County Mutual Aid Neede LI III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION <br />Name: CHELSEA MEDDINGS Phone: (530) 570-6755 <br />Company: BROADBENT & ASSOC. City: RENO <br />Address: 5450 Louie Ln #101 <br />Designated Employee: Gabriela Garcia-Mejia <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 <br />Physical Description: <br />1501 N. JACKTONE RD (APN: 22811027) City: RIPON <br />/RI Incorporated Unincorporated <br />Date of Discharge: 12/13/2022 Date Notified 12/13/2022 Time Notified: 6:58PM <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: FLYING J <br />Contact Person: JOEY CUPP <br />Contact Phone: (865) 474-2826 <br />Mailing Address: 5508 LONAS RD <br />City: KNOXVILLE <br />State: TN <br />ZIP: 37939 <br />DESCRIPTION <br />Material: DIESEL Amount: 3 El lbs x gal 0 cu ft <br />Type of Discharge: SPILL <br />Circumstances: FREIGHLINER BACKED INTO DISPENSER CAUSING THE RELEASE. <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />STAFF ON SITE CONDUCTED CLEAN UP. <br />SITE DISPOSITION <br />CLEAN UP HAS BEEN COMPLETED. <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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