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• :�- - SAN JOAQUIN COUNTY <br /> ='y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave,, Stockton - CA 95205 <br /> (209) 468-3420 • Fax:(209)468-3433 • Web:www.sigov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: January 28, 2017 SHORTTERM#: C06XPHU2T <br /> PREMISE ADDRESS:3028 Navy Drive CITY: Stockton <br /> DBA,Pacific Ethanol ICROSS STREET:Washington <br /> PREMISE OWNER: Pacific Ethanol PHONE: <br /> OWNER'S ADDRESS:3028 Navy Drive CITY,Stockton <br /> FACILITY CONTACT:Jordan Cain PHONE:510-904-7314 <br /> RE5PONSIBLE PARTY(RP)ABA: Pacific Ethanol <br /> RP NAME: Pacific Ethanol PHONE: <br /> RP ADDRESS:3028 Navy Drive CITY:Stockton <br /> RP CONTACT:Jordan Cain PHONE:510-904-7314 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Spill of 150 gallons of Corrpro 656 into the storm drain ditch. <br /> TIME RECEIVED:1 pm TIME OF ARRIVAL: 1.42 pm TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE Q TDD <br /> Garrett Backus SJC EHD <br /> <br /> <br /> <br /> <br /> MATERIAL/CLASSIFICATION is tmio ouvoLvEol <br /> IDENTIFICATION SPIT LED LIQ LI UID GAS COMMENTS <br /> {LBS) IGAII KU FTI <br /> Corrpro 556 X u N 150 reported amount <br /> -1Y LN <br /> Y I N <br /> Y I-N <br /> �iY ❑N <br /> :jY oN <br /> REFERRALS AND NOTIFICATIONS <br /> T R DATE MAILED <br /> DATE PROP 65 COMPLETED: 1/3112017 1 DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SU85TANCE EXPOSURE RECORD"COMPLETED? -1 YES r NO <br /> ER BINDERCOPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X ?NAP 0 ANALYTICAL DATA PROP EW UAR 7 FILE CREATED <br /> X MANIFEST D REFERRALS CLEAN UP REPORT ❑ OTHER AGENCY REPORTS u EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/0312 <br />