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PY <br />SAN 3OAQUIN COUNTY <br />.FILE . <br />YNO <br />a " � ENVIRONMENTAL HEALTH DEPARTMENT <br />? 1868 E. Hazelton Ave., Stockton • CA 95205 <br />�~ (209) 468-3420 • Fax. (209) 468-3433 • Web. wwwsjgov.org/ehd <br />EMERGENCY RESPONSE RECORD <br />DATE: Wednesday, January 23, 2013 <br />SHORTTERMN: 000035914 <br />PREMISE ADDRESS: 6484 Waverly Road <br />CITY: Linden <br />OBA: TTS Construction <br />CROSS STREET: <br />PREMISE OWNER: TTS Construction <br />PHONE; (209) 333-7791 <br />OWNERS ADDRESS: 1220 East Pine Street <br />OTv:Lodi <br />FACILITY CONTACT: Rudge Wynn <br />PHONE:(209) 333-7791 <br />RESPONSIBLE PARTY RP DgA: TTS Construction <br />PHONE: (209) 333-7791 <br />RP NAME: <br />RP ADDRESS: 1220 East Pine Street <br />crrv: Lodi <br />RP cowAcr: Rudge Wynn <br />PHoNE: (209) 333-7791 <br />I <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />TIME RECEIVED: Z' 6D TIME OF ARRIVAL: 7.'3O pddn TIME OF DEPARTURE: •3O <br />rcnwrvo r,i � <br />NAME AGENCY PHONE I4A _TOD <br />Muniappa Naidu SJC EHD <br />Rudge Wynn TTS Construction <br />IDENTIFICATIONSPII Sono UouID 59 COMMENT <br />S <br />&W "L Cun <br />Diesel X Y D N 20 gal <br />DY ON <br />oY o <br />o DN <br />o n <br />a DN <br />..-....... .._...._... _.._ __ <br />REFERRED TO INAME AND AD2UM <br />DATE MAILED <br />DATE PROP 65 COMPLETED: ' • Z 2 I DATE UAR COMPLETED: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? o YES a NO <br />ER &NDERC PIES: <br />o SHORT-TERM ON TOP ❑ NARRATIVE D MAP ❑ANALYTICAL DATA ❑ PROP 65 / UAR a FILE CREATED <br />D MANIFEST O REFERRALS D CLEANUPREPORT a OTHER AGENCY REPORTS o EXPOSURERECORD i D PHOTOS <br />ER RECORD. Page 1 - 10/03/12 <br />