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COTGGKZ9Z (2)
Environmental Health - Public
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COTGGKZ9Z (2)
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Entry Properties
Last modified
11/19/2024 10:36:09 AM
Creation date
4/4/2023 2:41:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTGGKZ9Z
PE
2546
STREET_NUMBER
0
STREET_NAME
I-5
City
MANTECA
Zip
95337
ENTERED_DATE
4/27/2021 12:00:00 AM
SITE_LOCATION
NB I-5 RAMP TOWARDS EB ST RTE 120
RECEIVED_DATE
4/27/2021 12:00:00 AM
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SANJOAQUIN <br /> Environmental Health Department <br />COUNTY- <br />EMERGENCY RESPONSE RECORD <br />Date: April 27, 2021 Short Term #: COTGGKZ9Z <br />Premise Address: 0 City: MANTECA <br />Premise DBA: Cross Street: YOSEMITE <br />Premise Owner: CALTRANS Owner's Phone: (209) 948-7820 <br />Mailing Address: 1604 S B ST Owner City: STOCKTON <br />Facility Contact: Contact Phone: <br />RP DBA: DIAZ TRANSPORT <br />Onsite RP Name: JOSE DIAZ Onsite RP Phone: (831) 970-0959 <br />Mailing Address: 271 PECAN DR RP City: RIPON <br />RP Contact: JOSE DIAZ Contact Phone: (831) 320-0051 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />APPROXIMATELY 40 GALLONS OF DIESEL SPILLED ONTO THE SOIL AT THE 1-5 TRANSITION RAMP SHOULDER. <br />CAL OES CONTROL #21-2228. <br />Time Received: 6:00 am Time of Arrival: 8:03 am Time of Departure: 8:20 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />CLAUDIA MURO SJC EHD (209) 561-8923 8:03 am 8:20 am <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />DIESEL FUEL 40.00 111 I=1 LI <br />El 1=1 D <br />LI U D <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: April 28, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD' COMPLETED? OYES LINO <br />Page 1 of 2 <br />1868 E. Hazelton Avenuel Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD
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