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CO0054647 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0054647 (2)
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Last modified
3/23/2022 2:33:34 PM
Creation date
3/23/2022 2:28:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054647
PE
2546
FACILITY_NAME
RESIDENTIAL
STREET_NUMBER
3916
STREET_NAME
PINE LAKE
STREET_TYPE
CIR
City
STOCKTON
Zip
95219
APN
11646023
ENTERED_DATE
1/28/2022 12:00:00 AM
SITE_LOCATION
3916 PINE LAKE CIRCLE
RECEIVED_DATE
1/28/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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4 <br />t, <br /> <br /> <br />SAN ,JOAQUIN cou Y <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # 0\-27 <br />D I - No Evacuation/Local Response On II - Evacuation and/or In-County Mutual Aid Neede D III - Evacuation and/or State/Regional Mutual Aid Neede <br />SOURCE OF INFORMATION: RECORD ID: C00054647 <br />Name: ALEX STEELE Phone: (209) 337-8902 <br />Company: PACIFIC GAS & ELECTRIC CO City: ANGELS CAMP <br />Address: 1108 MURPHYS GRADE RD <br />Designated Employee: Elianna Florido <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 3916 PINE LAKE CIRCLE, STOCKTON, CA <br />Physical Description: <br />City: STOCKTON <br />El Incorporated D Unincorporated <br />Date of Discharge: January 28, 2022 Date Notified: January 28, 2022 Time Notified: 2:00 pm <br />BUSINESS <br />Name of Business: PACIFIC GAS AND ELECTRIC <br />Contact Person: ALEX STEELE Contact Phone: (209) 337-8902 <br />Mailing Address: PO BOX 7640 <br />City: SAN FRANCISCO State: CA ZIP: 94120 <br />Material: TRANSFORMER OIL Amount: 1.00 0 lbs I=1 gal ID cu ft <br />Type of Discharge: SPILL <br />Circumstances: TRANSFORMER MALFUNCTION <br />Material: Amount: D lbs D gal 1=1 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs D gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />RESPONSIBLE PARTY PERFORMED CLEAN-UP. EHD VERIFIED CLEAN UP COMPLETE. <br />SITE DISPOSITION <br />RESPONSIBLE PARTY TO PROVIDE EHD WITH ANALYTICAL RESULTS AND WASTE DISPOSAL RECORDS <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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