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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E Main Street Stockton - CA 95202 <br /> (249)468-3420•fax:(209)468-3433 - Wets:www.sigov.org/ehd <br /> EMERGENCY RESPONSE RECORD r <br /> DATE: Monday, April 25, 2011 SHORT`rERM#: C000 r <br /> PREMISEADDRESS: 16777 Howland Road CITY: Lathrop <br /> DBA: J R Simplot <br /> PREMISE OWNER: I J R Simplot PHONE: (209) 858-2511 <br /> OWNER'S ADDRESS: 116777 Howland Road CITY: Lathrop <br /> FACILITY CONTACT: I Richard Bennett PHONE: (209) 858-2511 <br /> RESPONSIBLE PARTY(RP)DBA: I J R Simplot <br /> RP NAME: PHONE: <br /> RP ADDRESS: 16777 Howland Road CITY: Lathrop <br /> RP CONTACT: PHONE: <br /> NATURE OF COMPLAINT(explosion,spill,leak fire or abandoned/dumped material <br /> A metal pipe leaked from a weld for 15 minutes at 2 gallons per minutes. The metal pipe was used to pump 98% <br /> Sulphuric Acid to into another tank. <br /> TIME RECEIVED: 5:05 pm TIME OF ARRIVAL: 5:455 pm TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Muniappa Naidu SJC EHD (209)468-3439 5:45 pm <br /> Richard Bennett J R Simplot <br /> IDENTIFICATION OF MATERIAL(CHEMICUMVOLVED) Sulphuric Acid <br /> PHYSICAL STATE: ❑ SOLID ❑POWDER ❑GAS ❑D LIQUID ❑GRANULE <br /> REFERRALS TO: DATE MAILED: <br /> DATE COMPLETED: PROP 65: Apr 25, 2011 UAR: <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> NIA <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ❑ NO <br /> E.R.BINDER COPIES: <br /> x SHORT-TERM ON TOP 1 10 NARRATIVE n ANALYTICAL DATA [RI PROP 651 UAR <br /> EXPOSURE RECORD I rl MANIFEST CLEAN UP REPORT OTHER AGENCY REPORTS <br /> REFERRALS MAP FILE CREATED <br /> Rev.08/16/10 Page 1 of 3 ER Record <br />