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SAN JOAQUIN COUNTY <br /> �.• •. <br /> „ .ti11 ENVIRONMENTAL HEALTH DEPARTMENT <br /> i 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> •.cPi' (209) 468-3420 • Fax;(209) 468-3433 • Web:www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE:Wednesday, November 5, 2014 SHORTTERM#: C00038836 <br /> PREMISE ADDRESS:Jack Tone Road CITY: <br /> DBA: CROSS STREET:Highway 4 <br /> PREMISE OWNER:N/A PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:NIA <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Abandoned butane containers <br /> TIME RECEIVED:8.45 AM TIME OF ARRIVAL:9.20 AM TIME OF DEPARTURE: 10:05 AM <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Michael Parissi SJC EHD 953-6213 9:20 AM 10:05 AM <br /> MATERIAL/CLASSIFICATION(CHEMIC LiNVOLWD) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FTI <br /> Butane ❑Y X N 192 containers <br /> ❑Y u <br /> o c <br /> u u <br /> o c <br /> o c <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: I DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? -i YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA ❑ PROP 65/LIAR ❑ FILE CREATED <br /> ❑ MANIFEST C REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />