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SAN 3OAQUIN COUNTY <br /> t' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax:(209)468-3433 • Web:wwwsjgov.org/ehd <br /> 0'a� <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Friday, June 12, 2015 SHORTTERMM: <br /> PREMISE ADDRESS: <br /> 17100 S. Harlan Road., Lathrop CITY; Lathrop <br /> DBA;CARPENTER E R CO CROSS STREET: <br /> 17100 S. Harlan Road., LathropPHONE: 209-982-4600 <br /> PREMISE OWNER: <br /> OWNER'S ADDRESS: <br /> 17100 S. Harlan Road., LathropCITr. Lathrop <br /> FACILITY CONTACT:Michael Panss1 PHONE:209-982-4600 <br /> RESPONSIBLE PARTY(RP)DBA:CARPENTER E R CO <br /> RP NAME,CARPENTER E R CO PHONE:209-982-4800 <br /> RP ADDRESS: <br /> 17100 S. Harlan Road., CITY: Lathrop <br /> RP CONTACT:Michael Parissi PHONE:209-982-4600 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Spill of glue /adhesive inside facility's building <br /> TIME RECEIVED: 11.35 am TIME OF ARRIVAL:2.45 pm TIME OF DEPARTURE: 3.15 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD 209-953-7699 2:45 pm 3:15 pm <br /> Michael Parissi CARPENTER 209-982-4800 onsite onsite <br /> MATERIAL/CLASSIFICATION(CHFMICALIMLAID1 <br /> IDENTIFICATION SPILLED? SOLD LIQUID (�) COMMENTS <br /> Outlast CA- 50063 xY 0 N 20 Spilled <br /> c ON <br /> o ON <br /> o ON <br /> 0Y ON <br /> OY ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 6-12-2015 DATE LAR COMPLETED: IVA <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ,lq NO <br /> ER BINDER COPIES: <br /> A SHORT-TERM ON TOP J6( NARRATIVE X MAP 0 ANALYTICAL DATA X PROP 65/UAR 0 FILECREATED <br /> X MANIFEST 0 REFERRALS 0 CLEAN UP REPORT 0 OTHER AGENCY REPORTS 1 0 EXPOSURE RECORD J9( PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />