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° " SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax:(209) 464-0138 • Web:www.siov.oro/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: May 29,2015 SHORTTERM#: 000039773 <br /> PREMISEADDRESS: 801 Diamond St CITY: Stockton <br /> DBA: I BNSF Railway Company <br /> PREMISE OWNER: BNSF Railway Company PHONE: <br /> OWNER'S ADDRESS: 1 740 E.Carnegie DR CITY: San Bernardino <br /> FACILITY CONTACT: Chris Ortiz PHONE: <br /> RESPONSIBLE PARTY(RP)DBA: Same as above <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF COMPLAINT(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Leak of unknown liquid from railcar last containing asphalt <br /> TIME RECEIVED: 9:15pm TIMEOFARRIVAL: 9:30am TIME OF DEPARTURE: 1:30pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Steve Hoyle BNSF Onsite upon <br /> arrival and <br /> departure <br /> IDENTIFICATION OF MATERIAL ICXEMIMIMOLVED) <br /> SUBSTANCE FORM SOLID POWDER GAS x LIQUID GRANULE <br /> REFERRALS T0: DATE MAILED: <br /> DATE COMPLETED....PROP 65: UAR: <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? YES NO <br /> E.R.BINDER COPIES: <br /> SHORT-TERM ON TOP x NARRATIVE ANALYTICAL DATA PROP 65/UAR <br /> EXPOSURE RECORD MANIFEST CLEANUP REPORT OTHERAGENCY REPORTS <br /> REFERRALS x MAP FILECREATED <br /> ER RECORD ELECTRONIC VERSION Page 1 of 01/16/09 <br />