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CO0037436
Environmental Health - Public
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CO0037436
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Entry Properties
Last modified
10/4/2019 1:51:50 PM
Creation date
1/30/2019 3:35:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0037436
PE
2546
STREET_NUMBER
5000
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
17726034
ENTERED_DATE
1/8/2014 12:00:00 AM
SITE_LOCATION
5000 S AIRPORT WAY
RECEIVED_DATE
1/8/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\A\AIRPORT\5000\CO0037436.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .. Y - 1868 E . Hazelton Ave . , Stockton • CA 95205 <br /> (209) 468-3420 • Fax: ( 209) 468-3433 • Web: www. sjgov. org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE : Wednesday , January 8 , 2014 ISHORT TERM#: C00037436 <br /> PREMISE ADDRESS : 5000 S . Airport Way #202 Stockton , CA 95209 CITY: Stockton <br /> DBA: Stockton Metropolitan Airport CROSS STREET: R . A . Bridgeford <br /> PREMISE OWNER : San Joaquin County PHONE: 2094684700 <br /> OWNER'SADDRESS: 5000 S . Airport Way #202 Stockton , CA 95209cIrY: Stockton <br /> FACILITY CONTACT: Steve Sked PHONE: 2094684700 <br /> RESPONSIBLE PARTY (RP) DBA: Stockton Metropolitan Airport <br /> RP NAME: Steve Sked PHONE: 2094684700 <br /> RP ADDRESS : 5000 S . Airport Way #202 Stockton , CA 95209 CITY: Stockton <br /> RP CONTACT: Steve Sked PHONE: 2094684700 <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material ) <br /> 10 gallon fuel spill next the aboveground storage tanks near the fire station . Some got into the catch basin <br /> of the storm drain system . <br /> TIME RECEIVED: 9 . 00 AM TIME OF ARRIVAL: 9 . 30AM & 2 : 30PM TIME OF DEPARTURE: 10 : 30AM & 4 : 45PM <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Aris Cacapit SJC EHD (209) 468-3453 9 : 30AM 4 : 45PM <br /> Bryan Toledo City of Stockton 2099378719 <br /> Steve Sked Stockton Metro Airport 2094684700 <br /> MATERIAL/CLASSIFICATION (CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS( (GAL) (CU FT( <br /> o ❑ N <br /> o cN <br /> o cN <br /> o ❑ N <br /> ❑ Y cN <br /> ❑ Y E <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 TOXICSUBSTANCE EXPOSURE RECORD" COMPLETED? c YES c NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA X PROP 65 / UAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS X CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD ,1Q PHOTOS <br /> ER RECORD Pagel 10/03/12 <br />
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