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COSZGWLWK
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COSZGWLWK
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Last modified
3/4/2021 1:02:00 PM
Creation date
3/4/2021 12:55:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COSZGWLWK
PE
2546
FACILITY_NAME
RESIDENTIAL HOUSE
STREET_NUMBER
2357
STREET_NAME
PISA
STREET_TYPE
CIR
City
STOCKTON
Zip
95206
APN
16627028
ENTERED_DATE
11/21/2020 12:00:00 AM
SITE_LOCATION
2357 PISA CIRCLE, STOCKTON, CA
RECEIVED_DATE
11/21/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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1 � <br /> ff 'a <br /> SAN 10AQUIN CPy Environmental Health Department <br /> UNI '-: <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE i <br /> EMERGENCY LEVEL: EHD LOG# <br /> ❑x 1-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Neede ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: COSZGWLWK <br /> Name: Michael Green Phone: (925)658-0437 <br /> Company: PGE City: Angels Camp, CA 95222 <br /> Address: 1108 Murphys Grade Rd, <br /> Designated Employee: Elena Manzo <br /> Reporting Agency: San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location-Best In front of residential house located at 2357 Pisa Circle, Stockton, City: STOCKTON <br /> Physical Description: CA ❑x Incorporated ❑ Unincorporated <br /> Date of Discharge: November 20,2020 Date Notified: November 21,2020 Time Notified: 8:56 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: PGE <br /> Contact Person: MICHAEL GREEN Contact Phone: (925)658-0437 <br /> Mailing Address: 1108 MURPHYS GRADE ROAD <br /> City: ANGELS CAMP State: CA ZIP: 95222 <br /> DESCRIPTION <br /> Material: Transformer Oil Amount: 30.00 ❑ lbs 0 gal ❑cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑gal ❑cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑gal ❑cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Impacted soil was excavated, absorbent was applied to stained pavement <br /> SITE DISPOSITION <br /> Clean up is complete <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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