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ARCHIVED REPORTS XR0003475
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003475
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Last modified
6/21/2019 9:37:03 PM
Creation date
6/21/2019 3:37:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003475
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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'Tom Pinkos, Executive Officer 0 <br /> August 30,2004 <br /> Page 2 <br /> SPILL NOTIFICATION REPORT <br /> Volume Released to Receiving Water Unknown- San Joaquin County stormwater system <br /> Receiving Water Impact Unknown-San Joaquin County stormwater system <br /> Notifications I Regional Water Quality Control Board on 816104 <br /> 2 CA Office of Emergency Services on 815104 Report#04-4077 <br /> 3 CA Department of Fish and Game on 815104 <br /> 4 San Joaquin County Environmental Health Division on 815104 <br /> 5 San Joaquin County Office of Emergency Services on 815/04 <br /> Remediation Licensea hazaraous waste removal company performed high pressure cleaning of all <br /> contarr nated areas of City stormwater system above and below grade, hydro-vactor <br /> removal of cleaning water from stormwater system <br /> Remediation Com letion Date 8/6/04 <br /> 5 <br /> On-going Investigation/Actions San Joaquin County <br /> Schematics Enclosed <br /> Samples Collected after cleaning of City stormwater system on 8/6104 <br /> • Results are enclosed <br /> If you have any questions regarding this report, please contact Richard Stiffler, Environmental Control Supervisor, <br /> at(209)937-8740 <br /> "I certify under penalty of law that this document and all attachments were prepared under my direction or <br /> supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the <br /> information submitted Based on my inquiry of the person or persons who manage the system, or those persons <br /> directly responsible for gathering the information, the information submitted is, to the best of my knowledge and <br /> belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations " <br /> Respectfully submitted, <br /> General Manager <br /> OMT-Thames Water Stockton,Inc <br /> WLT RKS <br />
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