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oPqur''N .c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> . W�A 1868 E. Hazelton Ave., Stockton - CA 95205 <br /> cP.. (209) 468-3420 - Fax:(209) 468-3433 - Web.www.sigov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Friday, January 18, 2013 SHORTTERM#: 000035907 <br /> I PREMISE ADDRESS: 1801 E. Dr. Martin Luther King Blvd. Stockton, CA 95205 CITY: Stockton <br /> i. DBA:PG&E CROSS STREET:Belghle <br /> PREMISE OWNER:PG&E Pad Mounted Transformer at 1801 E. Charter Way PHONE: (209) 337-8902 <br /> OWNER'S ADDRESS:1108 Murphys Grade Rd. Angels Camp, CA 95222 CITyjLodi <br /> FACILITY CONTACT:Alex Steele PHONE:(209) 337-8902 <br /> 1 RESPONSIBLE PARTY(RP)DBA:PG&E <br /> RP NAME:Alex Steele PHONE:(209) 337-8902 <br /> RP ADDRESS: 1108 Murphys Grade Rd. Angels Camp, CA 95222 cITy:Angels Camp <br /> RP CONTACT:Alex Steele PHONE:(209) 337-8902 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Alex Steele of PG&E states that vandals vandalized the pad mounted transformer and caused the oil spill. <br /> f <br /> TIME RECEIVED:1:30PM ITIME OF ARRIVAL:-2.30PM TIME OF DEPARTURE:4.00PM <br /> PERSONS AT SCENE <br /> NAME - AGENCY PHONE TOA TOD <br /> k Aris Cacapit SJC EHD (209) 468-3453 2:30PM 4:OOPM <br /> Dave Larson PG&E (209) 337-8902 <br /> i. <br /> J <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS - COMMENTS <br /> (LBS) (GAL) (CU F7) <br /> u ❑N <br /> I E3 o <br /> ( ❑Y ❑N <br /> ❑Y oN <br /> ii c <br /> o u <br /> J REFERRALS AND NOTIFICATIONS <br /> i REFERRED TO NAME AND ADDRESS DATE MAILED <br /> f <br /> DATE PROP 65 COMPLETED: 1/18/13 DATE UAR COMPLETED: <br /> 1 IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURERECORU"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP JK NARRATIVE MAP X ANALYTICAL DATA X PROP 65/UAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD ❑ PHOTOS <br /> ER RECORD Page 1 10/03/12 <br /> 1 <br />