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SAN:_] OAQUIN Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: November 20, 2018 Short Term#: COPAUHORN <br /> Premise Address: 16888 S MCKINLEY AVE City: LATHROP <br /> Premise DBA: Cross Street: LOUISE <br /> Premise Owner: SUPER STORE INDUSTRIES Owner's Phone: (209)858-3365 <br /> Mailing Address: 16888 SOUTH MCKINLEY AVENUE Owner City: LATHROP <br /> Facility Contact: KELLY DURRER Contact Phone: (209)858-3370 <br /> RP DBA: SUPER STORE INDUSTRIES <br /> Onsite RP Name: KELLY DURRER Onsite RP Phone: (209)858-3370 <br /> Mailing Address: 16888 SOUTH MCKINLEY AVENUE RP City: LATHROP <br /> RP Contact: KELLY DURRER Contact Phone: (209)858-3370 <br /> NATURE OF RESPONSE(explosion,spill, leak, fire, or abandoned/dumped material <br /> A TOTE WAS PUNCTURED BY A FORKLIFT RESULTING IN THE DISCHARGE OF DIESEL EXHAUST FLUID INTO <br /> CONTAINMENT AND ONTO THE GROUND. OF THE 250 GALLONS DISCHARGED,45 GALLONS MADE IT ONTO THE <br /> GROUND AND THE REST WENT INTO SECONDARY CONTAINMENT. <br /> Time Received: 7:35 am Time of Arrival: 1:25 pm Time of Departure: 1:45 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Lydia Baker SJC EHD (209)468-8257 1:25 pm 1:45 pm <br /> Mai Vue SJC EHD (209)468-3284 1:25 pm 1:45 pm <br /> Kelly Durrer Super Store Industries (209)858-3370 <br /> Al Hollander Smart Transportation <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(gal) GAS(cu ftl COMMENTS <br /> Diesel Exhaust Fluid 45.00 ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: November 20,2018 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ❑NO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />