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COEMHN7Z6
EnvironmentalHealth
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2500 – Emergency Response Program
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COEMHN7Z6
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Last modified
7/11/2023 2:38:09 PM
Creation date
7/11/2023 1:32:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COEMHN7Z6
PE
2546
STREET_NUMBER
3837
STREET_NAME
IMPERIAL
STREET_TYPE
WAY
City
STOCKTON
Zip
95215
APN
17925040
ENTERED_DATE
3/29/2021 12:00:00 AM
SITE_LOCATION
3837 IMPERIAL WAY, STOCKTON
RECEIVED_DATE
3/29/2021 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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SANJOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: March 29, 2021 Short Term #: COEMHN7Z6 <br />Premise Address: 3837 IMPERIAL WAY City: STOCKTON <br />Premise DBA: Cross Street: FRONTIER WAY <br />Premise Owner: IMPERIAL WAY RE LLC Owner's Phone: (209) 464-2701 <br />Mailing Address: 3837 IMPERIAL WAY Owner City: STOCKTON <br />Facility Contact: IMPERIAL WAY RE LLC Contact Phone: (209) 464-2701 <br />RP DBA: MITSUBISHI CHEMICAL ADVANCED MATERIALS <br />Onsite RP Name: DANETTE RODRIGUEZ Onsite RP Phone: (209) 464-2701 <br />Mailing Address: 3837 IMPERIAL WAY RP City: STOCKTON <br />RP Contact: DANETTE RODRIGUEZ Contact Phone: (209) 464-2701 1 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />AN UNKNOWN OILY SUBSTANCE WAS FOUND ON THE PARKING LOT LEAKING FOR A METAL RECYCLING <br />CONTAINER. <br />Time Received: 10:00 am Time of Arrival: 10:30 am Time of Departure: 12:15 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />JOHN ALANIZ SJC EHD (209) 616-3053 10:30 am 12:15 pm <br />MELISSA NISSIM SJC EHD 10:30 am 12:15 pm <br />DANETTE RODRIGUEZ MITSUBISHI CHEMICAL ADVAN (209) 464-2701 <br />MATERIAL! CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />UNKNOWN OILY SUBS. 10.00 111 El El <br />CI El CI <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: March 29, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? EYES 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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