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SR0083269_SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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SR0083269_SSCRPT
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Entry Properties
Last modified
4/8/2021 4:53:21 PM
Creation date
4/8/2021 4:39:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0083269
PE
2603
STREET_NUMBER
3009
STREET_NAME
POCK
STREET_TYPE
LN
City
STOCKTON
Zip
95205
APN
17912011
ENTERED_DATE
2/11/2021 12:00:00 AM
SITE_LOCATION
3009 POCK LN
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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MAP FINDINGS <br />EDR ID Number <br />Site Database(s) EPA ID Number <br />Map ID <br />Direction <br />Distance <br />Elevation <br />BLINCOE TRUCKING (Continued) <br />Date Completed: <br />Property Use: <br />Agency Id Number: <br />Agency Incident Number: <br />Time Notified: <br />Time Completed: <br />Surrounding Area: <br />Estimated Temperature: <br />Property Management: <br />More Than Two Substances Involved?: <br />Resp Agncy Personel # Of Decontaminated: <br />Responding Agency Personel # Of Injuries: <br />Responding Agency Personel # Of Fatalities: <br />Others Number Of Decontaminated: <br />Others Number Of Injuries: <br />Others Number Of Fatalities: <br />Vehicle Make/year: <br />Vehicle License Number: <br />Vehicle State: <br />Vehicle Id Number: <br />CA DOT PUC/ICC Number: <br />Company Name: <br />Reporting Officer Name/ID: <br />Report Date: <br />Facility Telephone: <br />Waterway Involved: <br />Waterway: <br />Spill Site: <br />Cleanup By: <br />Containment: <br />What Happened: <br />Type: <br />Measure: <br />Other: <br />Type: <br />Measure: <br />Other: <br />Date/Time: <br />Year: <br />Agency: <br />Incident Date: <br />Admin Agency: <br />Amount: <br />Contained: <br />Site Type: <br />E Date: <br />Substance: <br />Quantity Released: <br />Unknown: <br />Substance #2: <br />Substance #3: <br />Evacuations: <br />Number of Injuries: <br />Number of Fatalities: <br />#1 Pipeline: <br />#2 Pipeline: <br />#3 Pipeline: <br />S104403448 <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />No <br />Not reported <br />Merchant/Business <br />No <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />PETROLEUM <br />Gal(s) <br />Not reported <br />1230 <br />2014 <br />Ca!trans <br />12/18/2014 <br />Not reported <br />Not reported <br />No <br />Not reported <br />Not reported <br />Motor Oil <br />300 <br />Not reported <br />Not reported <br />Not reported <br />Not reported <br />Rain water <br />Not reported <br />No <br />No <br />No <br />TC6278333.2s Page 68
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