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cgUIN <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> � P (209) 468-3420 • Fax. (209) 468-3433 • Web:www.sjgov.org/ehd <br /> gClFonN. <br /> EMERGENCY RESPONSE RECORD <br /> E <br /> /2016 C00042166SHORT TERM#:ESS: Byron Road CITY:Tracy WicklundCROSS STREET:ER:NA PHONE. NARESS:NA CITY:NAACT:NA PHONE:NA <br /> RESPONSIBLE PARTY(RP)DBA:Liaison CAN/U.S Logistics Inc <br /> RP NAME:Francine Matte PHONE:1800-661-7948 <br /> RPADDRESS:9936 Cote De Liesse Lachine, Quebec, H8T 1A1 <br /> CITY: <br /> RPcoNTAa:Richard Legros PHONE:(514) 983-8966 ext2231 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Approximately 40-gallons of diesel spill <br /> TIME RECEIVED:0633 TIME OF ARRIVAL: 0825 TIME OF DEPARTURE: 1635 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> HAZA SAEED SJC EHD 209 953-6212 0825 1635 <br /> Elena Manzo SJC EHD 209 952-7699 0940 1330 <br /> MATERIAL/CLASSIFICATION Ia[miuuevoLveo) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS <br /> (LBS) (GAL) (Cu FT) COMMENTS <br /> Diesel JAY o N 40 Approximately 40 gallons <br /> OY ❑N <br /> ❑Y ❑N <br /> oY ON <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> Notified Valley Com. <br /> UP Rail Road <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? DYES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP 1, :1 MAP ❑ ANALYTICAL DATA <br /> X PROP 65/UAR ❑ FILE CREATED <br /> MANIFEST O REFERRALS ❑ CLEAN UP REPORT X OTHER AGENCY REPORTS O EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />