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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
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Name: DAN ETTE RODRIGUEZ <br />Company: MITSUBISHI CHEMICAL <br />Phone: (209) 464-2701 <br />City: STOCKTON <br />SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY — <br />EMERGENCY LEVEL: <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # — <br /> <br />0 I - No Evacuation/Local Response Only <br /> Eli II - Evacuation and/or In-County Mutual Aid Needed 0 III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: RECORD ID: COEMHN7Z6 <br />Address: 3837 IMPERIAL WAY <br />Designated Employee: John Alaniz <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 WEST END OF FRONT YARD UNDER GATE 1, APN 17925040 City: STOCKTON <br />Physical Description: <br />II Incorporated CI Unincorporated <br />Date of Discharge: March 25, 2021 <br /> <br />Date Notified: March 29, 2021 Time Notified: 10:00 am <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: MITSUBISHI CHEMICAL ADVANCED MATERIALS <br />Contact Person: DANETTE RODRIGUEZ <br /> <br />Contact Phone: (209) 464-2701 <br />Mailing Address: 3837 IMPERIAL WAY <br /> <br />City: STOCKTON <br /> <br />State CA ZIP: 95215 <br />DESCRIPTION <br />Material: UNKNOWN OILY SUBSTANCE Amount: 10.00 El lbs El gal 12 cu ft <br />Type of Discharge: UNKNOWN RELEASE <br />Circumstances: EHD NOTIFIED BY FACILITY AT LOCATION <br />Material: Amount: 0 gal ID cu ft lbs <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs 1:1 gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />THE FACILITY HIRED AN ENVIRONMENTAL CONTRACTOR TO CLEAN THE RELASE <br />SITE DISPOSITION <br />EHD IS WORKING WITH FACILITY TO PROPERLY DISPOSE OF THE WASTE <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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