Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> 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 /> EMERGENCY RESPONSE RECORD <br /> DATE: 1/20/2015 SHORTTERM#. C00039122 <br /> PREMISE ADDRESS:Jack Tone Rd., .2 mi. south of Comstock Rd., 95236 CITY Unincorporated <br /> DBA:N/A CROSS STREET,Comstock Rd. <br /> PREMISE OWNER:County ROW PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:Unknown <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 containers. <br /> TIME RECEIVED:0930 TIME OF ARRIVAL: 1 030 ITIME OF DEPARTURE. 1400 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Robert Lopez SJC EHD 2099536214 1030 1400 <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> IL851 (GAL) ICU FT) <br /> Waste Flammable Liquid c y X N 15 50 various size containers. <br /> cY o <br /> c ❑N <br /> CY ❑N <br /> CY ❑N <br /> c ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? C YES L NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA 7 PROP 65/UAR ❑ FILE CREATED <br /> X MANIFEST C REFERRALS a CLEAN UP REPORT X OTHER AGENCY REPORTS L7 EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />