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SAN .JOAQUIN COUNTY <br />?, ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E Main Street Stockton • CA 95202 <br />(209) 468-3420 • Fax: (209) 468-3433 • Web: vwvw.sigov.org/ehd <br />4�%FO'RN <br />EMERGENCY RESPONSE RECORD <br />DATE: <br />Tuesday, November 16, 2010 <br />SHORT TERM#: <br />C00032877 <br />PREMISE ADDRESS:3550 <br />S. Hwy. 99 Frontage Rd. <br />CITY: <br />Stockton <br />DBA <br />I Valley Pacific Petroleum Services Cardlock #1004 <br />PREMISE OWNER: <br />I W & R Enterprises LLC <br />PHONE. <br />VPPS <br />OWNER'S ADDRESS: <br />P.O. BOX 55242 95205 <br />CITY: <br />Stockton <br />FACILITY CONTACT: <br />Shane Reames <br />PHONE: <br />547-0443 <br />RESPONSIBLE PARTY (RP) DBA: <br />Valley Pacific Petroleum Services <br />RP NAME: <br />Dan Elmer <br />PHONE: <br />(800) 266-3782 <br />RPADDRESS: <br />1633 E. Mineral King Ave. 93291 <br />CITY: <br />Visalia <br />RP CONTACT: <br />Same as RP Name <br />PHONE: <br />NA I UKt Uf- UUMHLAIN I (explosion, spill, leak, fire, or abandoned/dumped material <br />A 20 - 25 gallon diesel spill occurred due to a contractor error. <br />TIME RECEIVED: 16-15 PM 11/15/101 TIME OF ARRIVAL: 8.06 AM TIME OF DEPARTURE: 1 8:32 AM <br />PERSONS AT SCENE <br />NAME <br />AGENCY PHONE <br />TOA <br />TOD <br />Dan Elmer <br />VPPS (800) 266-3782 <br />PROP 65: <br />Nov 16, 2010 <br />Nathan Crum <br />VPPS <br />❑x NO <br />James Abbott <br />VPPS <br />IDENTIFICATION OF MATERIAL (CHEMICAL INVOLVED Diesel Fuel <br />PHYSICAL STATE: ❑ SOLID ❑ POWDER ❑ GAS N LIQUID ❑ GRANULE <br />REFERRALS TO: <br />CVRWQCB <br />None <br />DATE MAILED: <br />DATE COMPLETED: <br />PROP 65: <br />Nov 16, 2010 <br />UAR: <br />❑ YES <br />PFRSONS FXPOI;FD and/nr IN.IURFD <br />NAME ADDRESS <br />PHONE <br />None <br />"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? <br />❑ YES <br />❑x NO <br />E. R. BINDER COPIES: <br />SHORT-TERM ON TOP ❑xNARRATIVE ❑ ANALYTICAL DATA ❑x PROP 65 / UAR <br />❑ EXPOSURE RECORD ❑x MANIFEST ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS <br />❑x REFERRALS MAP ❑ FILE CREATED <br />Rev. 08/16/10 Page 1 of 3 ER Record <br />