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o. SAN JOAQUIN COUNTY <br />"? a ENVIRONMENTAL HEALTH DEPARTMENT <br />} ` 600 E Main Street Stockton • CA 95202 <br />(209) 468-3420 • Fax: (209) 464-0138 • web: www.sigov.org/ehd <br />s.>7 <br />EMERGENCY RESPONSE RECORD <br />DATE: <br />7-28-09 <br />SHORT TERM#: <br />000030729 <br />PREMISE <br />ADDRESS: <br />601 E. Main St. <br />I <br />} c�h.. _ a � <br />CITY: <br />Stockton <br />DBA: <br />PREMISE OWNER: <br />PHONE: <br />OWNER'S ADDRESS: <br />CITY: <br />FACILITY CONTACT: <br />PHONE: <br />RESPONSIBLE PARTY (RP) <br />DBA: <br />JLKContruction <br />RP <br />NAME: <br />Jim Kennard <br />PHONE: <br />91616-6702 <br />RP ADDRESS: <br />5549 Wilderness Loop <br />CITY: <br />Marysville CA 95901 <br />RP CONTACT: <br />Jim Kennard <br />PHONE: <br />916 416-6702 <br />NATURE OF COMPLAINT (explosion, spill, leak, fire, or abandoned/dumped material) <br />Blue Une 11 wall texture dissolved in water was discharged into the storm drain. <br />TIME 9:00am TIME OF I 9:15am TIME OF DEPARTURE: 11:15am <br />RECEIVED: I I ARRIVAL: <br />PERSONS AT SCENR <br />NAME AGENCY PHONE <br />TOA TOD <br />Jim Kennard 1LK Construction 916 416-6702 <br />9:30am <br />Aris Caca it SJCEHD 209 468-3453 <br />9:15am 11:15am . <br />Richard Stiffler City of Stockton 209 937-6740 <br />9:30am <br />"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? <br />YES NO <br />REFERRALS T0: <br />I Cl of Stockton. Richard Stiffler, Technical Services Supervisor <br />DATE MAILED: <br />DATE COMPLETED.... PROP 65: <br />7.28.09 <br />UAR: <br />PERSONS EXPOSED and/or INJURED <br />NAME ADDRESS <br />PHONE <br />"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? <br />YES NO <br />ER RECORD MODIFIED Page l of 05/01/2007 <br />