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i <br /> V O?ck u!N• p SAN JOAQUIN COUNTY <br /> 2' ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 304 E Weber Avenue 3rd Floor Stockton ■ CA 95202--2708 <br /> 468-3420 Fax: (209) 464-0138 web: www.co.san�:joaguin.ca.us/ehd <br /> QLIi±oR�x <br /> r <br /> EMERGENCY .RESPONSE RECORD <br /> DATE: February 14, 2007 SHORT TERM#: C000 <br /> PREMISE ADDRESS: 16777 S Howland Road CITY: Lathrop <br /> DBA: I JR Sim lot Company <br /> PREMISE OWNER: JR Simplot Company Corp PHONE: (209) 495-2655 <br /> OWNER'S ADDRESS: 16777 S Howland Road CITY: Lathrop <br /> i <br /> FACILITY CONTACT: John Yanak PHONE: (209)495-2655 <br /> RESPONSIBLE PARTY (RP) JR Simplot Company Corp k <br /> DBA: <br /> RP NAME: I JR Simplot Company Corp PHONE: (209) 495-2655 <br /> RP ADDRESS: 16777 S Howland Road CITY: Lathrop <br /> RP CONTACT: John Yanak PHONE: (209)495-2655 <br /> NATURE OF COMPLAINT(explosion, spill, leak, fire, or abandoned/dumped material) <br /> Approximately 100,000 gallons of weak ammonium sulfate solution was released from the sulfate crystallizer vessel during boil out. } <br /> i <br /> TIME RECEIVED: 11:30 a.m. TIME OF ARRIVAL: 12:43 .m. TIME OF DEPARTURE: I:35 p <br /> .m. <br /> PERSONS AT SCENE f <br /> NAME AGENCY PHONE TOA TOD ) <br /> i <br /> IDENTIFICATION OF MATERIAL(cxEWCAL.7NVOLV61)) <br /> SUBSTANCE SOLID POWDER CA X LI UID GRANULE <br /> FORM <br /> REFERRALS TO: DATE MAILED: <br /> DATE COMPLETED....PROP 65:T2/15/2007 UAR: � <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" I T-Y-Es N <br /> COMPLETED? <br /> E. R. BINDER COPIES: <br /> x SHORT-TERM ON TOP x NARRATIVE. ANALYTICAL DATA x ROP 5 UARI j <br /> EXPOSURE RECORD I MANIFEST CLEAN UP REPORT I OTHER AGENCY REPORTS <br /> REFERRALS I L MAP FILE CREATED 1f <br /> I' <br /> ER RECORD MODIFIED Page I of 02--05-2007 <br />