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SU0005796 SSCRPT
Environmental Health - Public
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SU0005796 SSCRPT
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Last modified
5/7/2020 11:31:46 AM
Creation date
9/5/2019 10:42:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005796
PE
2622
FACILITY_NAME
PA-0500779
STREET_NUMBER
11300
Direction
N
STREET_NAME
GOLFVIEW
STREET_TYPE
RD
City
LODI
APN
05920006
ENTERED_DATE
11/30/2005 12:00:00 AM
SITE_LOCATION
11300 N GOLFVIEW RD
RECEIVED_DATE
11/29/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GOLFVIEW\11300\PA-0500779\SU0005796\SSC RPT.PDF
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EHD - Public
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of�'u 1N• C SAN JOAQUIN COUNTY- OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue,Room 610, Stockton, CA 95202 <br /> Telephone (209)468-3969 <br /> 4G%FOM1N; <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Deemed Time Incident Date At Scene Time At Scene SIDES Incident No. <br /> — Occured <br /> 2/4/2002 1920 2/4/2002 1935 XSJ-01553 <br /> M Initial Information Reported Wind Speed/Direction <br /> Dennis Fields requested I respond to Golfview Rd.at Morse Rd.for the report <br /> of an abandoned 30-gallon drum. Possible waste oil. <br /> Reporting Party Name Address Telephone No. <br /> S/0 Dispatch 7000 M. Canlis Blvd. 209-468-4400 <br /> French Camp, CA 95231 <br /> Responsible Party Name Address Telephone No. <br /> N Unknown Unknown Unknown <br /> Responsible Party Representative Name Address Telephone No. <br /> Unknown Unkncnan Unknown <br /> OES HazMat Team DES Personnel On Scene <br /> Activated <br /> No Robert Lopez <br /> joint Team Activated? Daterrime Activated Members On Scene <br /> O NO <br /> I=District Mitigation/Removal Actions <br /> 15 Waterloo-Morada The drum was a container used to hold solidified molasses as a cattle feed supplement. <br /> The material tested positive for sugar. Its appearance and odor was consistent with <br /> molasses. SIO officer on scene stated the material would be removed by C/Corp. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> P <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q No Abandoned Material <br /> Page 2 <br />
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