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COX940SIL
Environmental Health - Public
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2500 – Emergency Response Program
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COX940SIL
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Last modified
4/14/2023 4:21:48 PM
Creation date
4/14/2023 4:19:09 PM
Metadata
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Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COX940SIL
PE
2546
STREET_NUMBER
1400
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14115002
ENTERED_DATE
5/27/2020 12:00:00 AM
SITE_LOCATION
1400 E WATERLOO RD
RECEIVED_DATE
5/26/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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I 1.. <br />SAN•JOAQUIN COPY <br /> <br />Environmental Health Department <br />C OU N Y <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # /12-0 CnO <br />0 I - No Evacuation/Local Response Only <br /> <br />0 II - Evacuation and/or In-County Mutual Aid Needed LI iii - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: <br />Name: IVO SAHAGUN Phone: (209) 482-0585 <br />Company: MIZKAN AMERICA, INC City: STOCKTON <br />Address: 1400 E WATERLOO RD <br />Designated Employee: John Alaniz <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 FIRE OCCURRED IN PACKING AREA OUTSIDE OF BUILDING. <br />Physical Description: LOCATED AT 1400 E WATERLOO RD, APN 14115002. <br />City: STOCKTON <br />El Incorporated D Unincorporated <br />Date of Discharge: May 26, 2020 Date Notified: May 26, 2020 Time Notified: 8:30 am <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: MIZKAN AMERICA, INC. <br />Contact Person: IVO SAHAGUN Contact Phone: (209) 482-0585 <br />Mailing Address: 1400 E WATERLOO RD <br />City: STOCKTON State: CA ZIP: 95205 <br />DESCRIPTION <br />Material: WATER WITH FOAM Amount: 30,000.00 III lbs El gal 0 Cu ft <br />Type of Discharge: RELEASE FROM FIREFIGHTER <br />Circumstances: FIRE OCCURRED AT FACILITY <br />Material: Amount: El lbs D gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: D lbs lil gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />FIRE WAS PUT OUT BY STOCKTON FIRE DEPARTMENT. <br />SITE DISPOSITION <br />RESPONSIBLE PART IS CURRENTLY IN PROCESS OF BEGINNING CLEANUP. <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.sjcehd.com
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