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CO0055275
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2500 – Emergency Response Program
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CO0055275
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Last modified
7/11/2023 2:28:35 PM
Creation date
7/11/2023 1:17:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055275
PE
2546
STREET_NUMBER
221
STREET_NAME
CORONADO
STREET_TYPE
WAY
City
TRACY
Zip
95376
APN
21432012
ENTERED_DATE
10/6/2022 12:00:00 AM
SITE_LOCATION
221 CORONADO WAY
RECEIVED_DATE
10/6/2022 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
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: October 06, 2022 Short Term #: C00055275 <br />Premise Address: 221 CORONADO WAY City: TRACY <br />Premise DBA: Cross Street: BALBOA DR <br />Premise Owner: DE ARREDONDO, MARIA ETAL Owner's Phone: <br />Mailing Address: 221 CORONADO WAY Owner City: TRACY <br />Facility Contact: DE ARREDONDO, MARIA ETAL Contact Phone: <br />RP DBA: PG&E <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: P.O BOX 7640 RP City: SAN FRANCISCO <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />LESS THAN A CUP OF MINERAL OIL SPILLED IN THE BACKYARD. DID NOT AFFECT ANY WATERWAYS. <br />Time Received: 3:55 pm Time of Arrival: 4:30 pm Time of Departure: 5:30 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Paul Nso EHD (209) 616-3049 4:30 pm 5:30 pm <br />Maria De Arredondo Homeowner <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gah GAS (Cu ft) COMMENTS <br />Mineral Oil 0.05 CI I=1 0 <br />0 0 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES N 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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