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SAN JOAQUIN COUNTY <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> . 4. (209) 468-3420 • Fax:(209) 468-3433 • Web;www.sjgov.org/ehd <br /> i�p F og.cl� <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Friday, July 11, 2014 SHORT TERM#: ocuRk <br /> PREMISE ADDRESS: 1000 E Roth Road CITY:Lathrop <br /> DBA:UPRR ICROSS STREET:S Airport Way <br /> PREMISEOWNER:Union Pacific Intermodal Facility PHONE:888-877-7267 <br /> OWNER'S ADDRESS:1416 Dodge Street CITY:Omaha <br /> FACILITY CONTACT:Jeremiah Farree PHONE:209-546-7288 <br /> RESPONSIBLE PARTY(RP)DBA:UPRR <br /> RPNAME:MIke Grant PHONE:888-877-7267 <br /> RPADDRESS:1416 Dodge Street CITY:Omaha <br /> RPCONTACT:Jeremiah Farree PHONE:209-546-7288 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> A container fell of a semi truck puncturing the fuel tank releasing 5-7 gallons of diesel fuel onto concrete <br /> paving <br /> TIME RECEIVED:2.20 am ITIME OF ARRIVAL:7.25 am ITIME OF DEPARTURE:8.20 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD 209-953-7699 7:25 am 8:20 am <br /> Jeremiah Farree UPRR 209-546-7288 onsite onsite <br /> MATERIAL/CLASSIFICATION(CHEMICAL NVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS(LBS) (GAL) (CU FT) COMMENTS <br /> Diesel X o 5-7 Spilled fuel <br /> Absorbent ❑Y X N A(' Spill clean-up debris <br /> o o <br /> o o <br /> o u <br /> o o <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 7-11-2014 DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA X PROP 65/LIAR ❑ FILE CREATED <br /> [Alm— ❑ REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />