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SU0006411 SSCRPT
Environmental Health - Public
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SU0006411 SSCRPT
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Last modified
5/7/2020 11:32:22 AM
Creation date
9/5/2019 11:17:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006411
PE
2622
FACILITY_NAME
PA-0700009
STREET_NUMBER
17
Direction
N
STREET_NAME
HINKLEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15721022
ENTERED_DATE
1/30/2007 12:00:00 AM
SITE_LOCATION
17 N HINKLEY AVE
RECEIVED_DATE
1/30/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\H\HINKLEY\17\PA-0700009\SU0006411\SSC RPT.PDF
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EHD - Public
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Rug 28 06 02: 36p San -naquin County OES 2094682—nO p. 11 <br /> ` SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> INCIDENT REPORT 222 E. Weber Ave.,Stockton,CA 95202 (209)468-3962 <br /> JADDITIONAL INFORMATION OR FURTHER DESCRIPTION OF CHARACTERISTICS OFEMERGENCY <br /> -' E SFD was the initial response agency. The material was left over the weekend and notification was not received by <br /> OES until Monday. <br /> OES PERSONNEL ACTIVATED DATE?1ME INITIALLY AT SCENEIEOC <br /> Robert Lopez and Phil Cook. DATE TIME <br /> 11/25!2002 0930 <br /> FIRE DISTRICT !OMT TEAM ACTIVATED MEMBERS ON SCENE <br /> 22 City of Stockton NO <br /> T' DATIITIME ACTIVATED <br /> HAZMAT IDENTIFICATION SOURCES j MMGATION/REMOVAL ACTIONS <br /> PERSONNEL REFERENCE MATERIAL Oil-soaked absorbent was shoveled into two 55-gallon drums and <br /> 40 On-Site Non-Fire No Reference Material transported to the Caltrans holding facility. The drum of oil was <br /> Services Used located on private property and referred to Environmental Health. <br /> F <br /> IONS TAKEN BY OES PERSONNEL <br /> Remove Hazard;42 ED/Analysis of Hazmat;47 Decon Area(Clean up);63 Notify Other Agency;64 <br /> fo. <br /> CASUALTIES AND DAMAGE CAUSED AS A RESULT OF INCIDENT <br /> a FATALITIES INJURIES DECONTAMINATED STRUCTURES OTHER LOSSESICOMMENTS <br /> DESTROYED <br /> RESPONDING N/A N/A N/A N/A WA <br /> II AGENCY PERSONNEL <br /> r <br /> AFFECTEDBUSINESS NIA MIA N/A STRUCTURES <br /> DAMAGED <br /> PUBLIC NIA N/A N/A N/A <br /> AGENCY NOTIFICATIONS AND/OR REFERRALS <br /> NAME OF AGENCY DATE OF NOTIFICATION TIME OF NOTIFICATION NAME OF REPRESENTATIVE <br /> NOTIFIED <br /> State Warning Center 11/25/02 1136 Sibyl Clark <br /> Environmental Health 11/25/02 <br /> I <br /> r_ <br /> OTHER DOCUMENTS OR INFORMATION DEVELOPED FROM INCIDENT <br /> r Incident Map and OHS Hazardous Materials Spill Report. <br /> J <br /> r <br /> REPORTING OFFICER NAME DATE FILED I COMMENTS <br /> IDENTIFICATION NO. ATTACHED <br /> K R Lopez,OES7 11/26/2002 YES <br /> r <br /> Page 2 <br /> r <br />
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