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COED9SFZK (2)
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COED9SFZK (2)
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Last modified
5/20/2021 12:27:07 PM
Creation date
5/20/2021 12:18:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COED9SFZK
PE
2546
STREET_NUMBER
10644
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602019
ENTERED_DATE
2/26/2021 12:00:00 AM
SITE_LOCATION
10644 TRINITY PKWY
RECEIVED_DATE
2/26/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SAN ,JOAQUIN Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: February 26,2021 Short Term#: COED9SFZK <br /> Premise Address: 10644 TRINITY PKWY City: STOCKTON <br /> Premise DBA: Cross Street: SCOTT CREEK DR <br /> Premise Owner: EXCEL STOCKTON LLC Owner's Phone: <br /> Mailing Address: 10920 VIA FRONTERA STE 220 Owner City: SAN DIEGO <br /> Facility Contact: EXCEL STOCKTON LLC Contact Phone: <br /> RP DBA: SHOPCORE PROPERTIES <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 10742 TRINITY PKWY, STE E RP City: STOCKTON <br /> RP Contact: GAYLEN SPENCER Contact Phone: (801)598-8456 <br /> NATURE OF RESPONSE(explosion,spill, leak,fire,or abandoned/dumped material <br /> CAL OES SPILL REPORT#21-1069: PER NRC REPORT: CALLER REPORTED AN UNKNOWN AMOUNT OF OIL WAS <br /> FOUND ON THE PARKING LOT FLOOR DUE TO UNKNOWN CAUSES. <br /> Time Received: 9:30 am Time of Arrival: 10:15 am Time of Departure: 1:15 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> BRIAN URIBE STOCKTON CITY STORMWATER (209)639-7300 12:30 pm <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(aal) GAS(cu ft) COMMENTS <br /> USED MOTOR OIL&FILTER 1.50 ❑ ❑x ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: February 26,2021 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ❑NO <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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