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SU0005947_SSCRPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0600098
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SU0005947_SSCRPT
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Last modified
11/19/2024 3:46:25 PM
Creation date
9/9/2019 10:24:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005947
PE
2622
FACILITY_NAME
PA-0600098
STREET_NUMBER
20899
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
APN
02311024
ENTERED_DATE
3/7/2006 12:00:00 AM
SITE_LOCATION
20899 E HWY 12
RECEIVED_DATE
3/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\20899\PA-0600098\SU0005947\SSC RPT.PDF
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EHD - Public
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rA"!".. SAN JOAQUIN COUNTY- OFFICE OF EMERGENCY SERVICES <br /> 0-T zk o <br /> HAZARDOUS MATERIALS DIVISION <br /> '` 222 East Weber Avenue,Room 610,Stockton, CA 95202 <br /> Telephone (209)468-3969 <br /> C P <br /> 9�tFORN` <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 /> 7/1/1998 738 7/1/1998 815 XSJ-00662 <br /> M Initial Information Reported Wind Speed/Direction <br /> Responded to assist law enforcment with a drug lab operation. <br /> Reporting Party Name Address Telephone No. <br /> V <br /> Not available <br /> Responsible Party Name Address Telephone No. <br /> 6. N Not available <br /> Responsible Party Representative Name Address Telephone No. <br /> ,` Not available <br /> OES HazMat Team OES Personnel On Scene <br /> Activated <br /> Yes R Lopez-OES 7;M Parissi-OES 8;P Cook-OES 9 <br /> Joint Team Activated? Datefrime Activated Members On Scene <br /> O Yes 7/1/98 AM Rob Engel,Greg Garcia,Kurt Rodes,Ron <br /> Swearengir,Dave Ingnim. <br /> V Fire District Mifigation/Removal Actions <br /> Clements FD Drug lab processed by Cracnet and DOJ. Disposal by State Toxics contractor. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> l� <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q Clandestine Drug Laboratory <br /> Page 2 / <br /> v <br />
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