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COU4YU8DG (2)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FOREST LAKE
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2500 – Emergency Response Program
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COU4YU8DG (2)
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Last modified
4/14/2021 12:09:14 PM
Creation date
4/14/2021 11:34:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COU4YU8DG
PE
2546
FACILITY_NAME
PRIVATE PROPERTY
STREET_NUMBER
4402
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00319018
ENTERED_DATE
2/8/2021 12:00:00 AM
SITE_LOCATION
4402 W. FOREST LAKE RD.
RECEIVED_DATE
2/8/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN COPY <br />Environmental Health Department <br />--rnuN -ry <br />EMERGENCY LEVEL: <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br /> <br />El I - No Evacuation/Local Response Only LI II - Evacuation and/or In-County Mutual Aid Neede D III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: <br />Name: ALEX STEELE Phone: (209) 337-8902 <br />Company: PGE City: ANGELS CAMP <br />Address: 1108 MURPHYS GRADE RD. <br />Designated Employee: Jason Gaitan <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 4402 FOREST LAKE RD. ACAMPO, CA 95220 (38.212338, <br />Physical Description: -121.379312), ON PRIVATE PROPERTY. <br />City: ACAMPO <br />0 Incorporated I: Unincorporated <br />Date of Discharge: January 29, 2021 Date Notified: February 08, 2021 Time Notified: 8:30 am <br />Name of Business: PGE <br />Contact Person: ALEX STEELE Contact Phone: (209) 337-8902 <br />Mailing Address: 1108 MURPHYS GRADE RD. <br />City: ANGELS CAMP State: CA ZIP: 95222 <br />Material: MINERAL OIL Amount: 80.00 D lbs El gal 0 cu ft <br />Type of Discharge: RELEASE <br />Circumstances: HIGH WINDS KNOCKED DOWN POLE MOUNTED TRANSFORMER <br />Material: Amount: 0 lbs D gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs El gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />PGE EMPLOYEES COVERED SPILL. <br />SITE DISPOSITION <br />DUE TO MUDDY CONDITIONS CLEAN UP CANNOT OCCUR UNTIL AREA DRIES UP, EHD WILL BE NOTIFIED ONCE <br />CLEAN UP IS FINISHED. <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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