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CO0053806
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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CO0053806
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Last modified
7/11/2023 2:18:45 PM
Creation date
7/11/2023 1:14:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053806
PE
2546
STREET_NUMBER
1611
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
NEAR 17110021
ENTERED_DATE
5/17/2021 12:00:00 AM
SITE_LOCATION
1611 MARIPOSA RD
RECEIVED_DATE
5/17/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
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 />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: May 17, 2021 Short Term #: C00053806 <br />Premise Address: 1611 MARIPOSA RD City: STOCKTON <br />Premise DBA: Cross Street: DR MARTIN LUTHER KING JR <br />Premise Owner: FAIZAL AWADAN Owner's Phone: (209) 954-6537 <br />Mailing Address: 1784 KOMENICH DR Owner City: MANTECA <br />Facility Contact: FAIZAL AWADAN Contact Phone: (209) 954-6537 <br />RP DBA: PG&E <br />Onsite RP Name: PG&E Onsite RP Phone: (209) 337-8902 <br />Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br />RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />SPILL 50 GALLONS MINERAL OIL NON PCB <br />Time Received: 1:48 pm Time of Arrival: 2:30 pm Time of Departure: 3:18 pm <br />PERSONS AT SCENE <br />NAME AGENCY ai_o_NE TOA TOD <br />JOHN ALANIZ SJC EHD (209) 616-3053 2:30 pm 3:18 pm <br />PAUL NSO SJC EHD (209) 616-3049 2:30 pm 3:18 pm <br />DAVE LARSEN PG&E (209) 401-9719 <br />BRIAN URIBE CITY OF STOCKTON (209) 639-7300 <br />MARCOS AMBRIZ GUARANTEE AUTO REPAIR (209) 466-7664 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />MINERAL OIL 100.00 0 1=1 0 <br />0 1=1 CI <br />I=1 1=1 D <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: May 17, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES ONO <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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