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SU0005947_SSCRPT
Environmental Health - Public
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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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L <br /> i op4"•IN � SAN JOAQUIN COUNTY - OFFICE OF EMERGENCY SERVICES <br /> Q HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue,Room 610, Stockton, CA 95202 <br /> Telephone (209)468-3969 <br /> �4C/FORH�P <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Occured Time Incident D;7=7 Scene Time At Scene SJOES Incident No. <br /> Occured <br /> 5/22/1997 0730 IR-00374 <br /> M Initial Information Reported Wind Speed/Direction <br /> 7 to 10 gallons of hydraulic fluid into the Mokelumne River at the Camanche unknown <br /> Power House. 5015 Buena Vista Road.Result of a turbine leak. <br /> Reporting Party Name Address Telephone No. <br /> 4 Cynthia C. Adkisson P.O.Box 24055 <br /> 510.287-1627 <br /> East Bay MUD Oakland,CA 94623 <br /> Responsible Party Name Address Telephone No. <br /> N East Bay MUD Same As Above Same As Above <br /> Responsible Party Representative Name Address Telephone No. <br /> 4, Cynthia C. Adkisson Same As Above Same As Above <br /> Env. Compliance Specialist <br /> OES HazMat Team DES Personnel On Scene <br /> Activated <br /> N/A <br /> No <br /> Joint Team Activated? Datefrime Activated Members On Scene <br /> O No <br /> Fire District Mitigation/Removal Actions <br /> Clements(6) <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 Fixed Facility, Accident <br /> r <br /> Page 2 <br />
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