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CO0038529
Environmental Health - Public
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2500 – Emergency Response Program
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CO0038529
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Last modified
12/22/2020 12:09:55 PM
Creation date
2/8/2019 11:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0038529
PE
2546
FACILITY_ID
FA0003775
STREET_NUMBER
1010
STREET_NAME
INDUSTRIAL
STREET_TYPE
WAY
City
STOCKTON
ENTERED_DATE
9/15/2014 12:00:00 AM
SITE_LOCATION
1010 INDUSTRIAL WAY
RECEIVED_DATE
9/15/2014 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL\1010\CO0038529.PDF
Tags
EHD - Public
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ACTIVITY LOG (ICS 214) <br /> 1. Incident Name: 2. Operational Period: Date From:9-15-14 Date To: <br /> 1010 Industrial St. Stockton, CA 95206 1 Time From: Time To: <br /> 3. Name: 4. ICS Position: 5. Home Agency (and Unit): <br /> Aris Veloso SJC EHD Unit 3 <br /> 6. Resources Assigned: <br /> Name ICS Position Home Agency (and Unit) <br /> 7. Activity Log: <br /> Date/Time Notable Activities <br /> 9-15-14/ 9:30am Received emergency page regarding the 30 gallon diesel spill at 1010 Industrial St. <br /> AV Stockton. Arrived on site. Witness clean up by Tiger Lines LLC personnel. Issued official <br /> inspection report. Mark Handel states the absorbent will be brought back to their shop and <br /> reused. Mark states once the absorbent can no longer be used, he'll have it properly <br /> disposed of as a hazardous waste. and send EHD a copy of the disposal manifest. <br /> 9-15-14/ 3:00pm Updated ER record. Added photos to ER record. <br /> AV <br /> 10-31-14/ 1:26pm Received on 10-30-14, manifest 004423231 SKS <br /> AV <br /> Position/Title: R.E.H.S. Signature: <br /> 8. Prepared by: Name: Aris Veloso <br /> ICS 214, Page 1 Date/Time: <br />
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