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/UIN\ <br /> SAN JOAQUIN COUNTY <br /> { <br /> i1=0R� ( )ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax: 209 468-3433 • Web:www.sjgov.org/ehd <br /> cow <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 05/08/17 C00043432 <br /> SHORT TERMM: <br /> PREMISE ADDRESS:6649 Embarcadero Drive aTv: Stockton <br /> DBA:Village West Marina <br /> CROSS STREET: <br /> PREMISE OWNER-VILLAGE WEST MARINA LLC PHONE: (650) 369-6746 <br /> owNER'SADDRESS: 1520 MAIN ST REDWOOD CITY, C9406 CITY-REDWOOD CITY <br /> FACILITY CONTACT,TIM FONTAINE PHONE:(209) 951-1551 <br /> RESPONSIBLE PARTY(RP)DBA:Unknown <br /> RP NAME:Unknown PHONE:N/A <br /> RP ADDRESS:N/A CITY:N/A <br /> RP CONTACT:N/A PHONE:N/A <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Sheen on the water surface started 05/01/2017 . Sheen impacted 100 X 50 yard area, and it could be <br /> coming from waste water treatment plant. <br /> TIME RECEIVED:8.15am TIME OF ARRIVAL: 1.00pm TIME OF DEPARTURE:03:12pm <br /> PERSONSATSCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Haza Saeed SJC EHD (209)915-6575 1:00pm 3:13pm <br /> Ryan Rodriguez Fish &Wildlife (408)210-3882 1:30pm 3:12pm <br /> Tim Fontaine Village West Marina (209)951-1551 <br /> MATERIAL/CLASSIFICATION IOIEMIULINV VED) <br /> IDENTIFICATION SPILLED? SOLID LID ID GAS <br /> (LBS) (GAL) ICU Fn COMMENTS <br /> Unknown Oily substance XY D N Unknown amount <br /> n DN <br /> DY DN <br /> n DN <br /> O DN <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 05/09/2017 DATE UAR COMPLETED: N/A <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES D NO <br /> ER BINDER COPIES: <br /> Aj SHORT-TERM ON TOP }( NARRATIVE }[ MAP ❑ gNALYTICAL DATA <br /> MANIFEST O REFERRALS ❑ CLEAN UP REPORT PROP 65/UAR ❑ FILE CREATED <br /> $( OTHER AGENCY REPORTS ❑ EXPOSURE RECORD jQ PHOTOS <br /> ER RECORD Page 1 <br /> 10/03/12 <br />