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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) 468-3433 • Web:www.sigov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 1/9/2015 SHORT TERM#: C00039069 <br /> PREMISE ADDRESS:Jack Tone Rd CITY: Stockton <br /> DBA:NA CROSS STREET:Hwy 4 <br /> PREMISE OWNER:NA PHONE: NA <br /> OWNER'S ADDRESS:NA CITY:NA <br /> FACILITY CONTACT:NA PHONE:NA <br /> RESPONSIBLE PARTY(RP)DBA:NA <br /> RP NAME:NA PHONE:NA <br /> RP ADDRESS:NA CITY: <br /> NA <br /> RP CONTACT:NA PHONE: <br /> NA <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> 3 CASES OF BUTANE CANISTERS ON ROADSIDE <br /> TIME RECEIVED:0430 TIME OF ARRIVAL: 0515 TIME OF DEPARTURE: 700 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Robert Lopez SJC EHD (209) 953-6211 0515 0730 <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> BUTANE ❑Y X N 288 CANISTERS <br /> u o <br /> L3 o <br /> D ❑N <br /> o ❑N <br /> o ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> NA <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? -i YES ❑ NO <br /> ER BINDER COPIES: <br /> SHORT-TERM ON TOP I X NARRATIVE MAP ❑ ANALYTICAL DATA ❑ PROP 65/UAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT I ❑ OTHER AGENCY REPORTS I ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />