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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> Rr <br /> (209) 468-3420 • Fax;(209) 468-3433 • Web:www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 09/09/2015 SHORTTERM#: CO <br /> PREMISE ADDRESS:Jack Tone Road CITY:Linden <br /> DBA:NA CROSS STREET: <br /> PREMISE OWNER:NA PHONE: NA <br /> OWNER'S ADDRESS:NA CITY:NA <br /> FACILITY CONTACT:NA PHONE:NA <br /> RESPONSIBLE PARTY(RP)DBA:Gas & Electrical Company <br /> RP NAME:Pacific Gas & Electrical Co. (PG&E) PHONE:(209) 337-8902 <br /> RPADDRESS:1108 Murphys Grade Road CITY:Angels Camp <br /> RP CONTACT:Alex Steele PHONE:(209) 337-8902 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> A truck hit PG&E electrical pole causing 45 gallons of transformer oil spill into the soil <br /> TIME RECEIVED:1455 TIME OF ARRIVAL:09/10/2015, 1145 TIME OF DEPARTURE:09/10/2015, 1348 <br /> PERSONS AT SCENE <br /> NAME A EN PHONE TOA MD <br /> Garrett Backus SJC EHD (209) 468-2986 1145 1348 <br /> Haza Saeed SJC EHD (209) 953-6212 1145 1348 <br /> MATERIAL/CLASSIFICATION(UEMICA1I Nv WD) <br /> IDENTIFICATION SPILLED? ($OBSD LIQUID C ) COMMENTS <br /> Transformer Oil xY LI N 45 PG&E cleaned up the spill <br /> u ON <br /> 0Y ON <br /> 0Y ON <br /> 0Y DN <br /> 0Y ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: YeS DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER R COPIES:E SHORT-TERM E TOP X NARRATIVE X MAP I X ANALYTICAL DATA I X PROP 65/JAR ❑ FILE CREATED <br /> X MANIFEST 0 REFERRALS ❑ CLEAN UP REPORT 1 0 OTHER AGENCY REPORTS 1 0 EXPOSURE RECORD Jq PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />