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U <br /> SAN IOAQUIN COUNTY <br /> -,ter..••.o` <br /> y I ENVIRONMENTAL HEALTH DEPARTMENT <br /> I{, 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax:(209) 468-3433 • Web;www.sjgov.org/ehd <br /> Lrkog% <br /> EMERGENCY RESPONSE RECORD <br /> DATE: January/28, 2017 SHORT TERM#: C06XPHU2T <br /> PREMISEADDRESS:3028 Navy Drive CITY: Stockton <br /> DBA:Pacific Ethanol ICROSS STREET:Washington <br /> PREMISE OWNER: Pacific Ethanol PHONE: <br /> OWNER'SADDRESS:3028 Navy Drive CITY,Stockton <br /> FACILITY CONTACT:Jordan Cain PHONE:510-904-7314 <br /> RESPONSIBLE PARTY(RP)DBA: Pacific Ethanol <br /> RP NAME: Pacific Ethanol PHONE: <br /> RP ADDRESS:3028 Navy Drive CITY:Stockton <br /> RP CONTACT:Jordan Cain PHONE:510-904-7314 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Spill of 150 gallons of Corrpro 656 into the storm drain ditch. <br /> TIME RECEIVED: 1 pm TIME OF ARRIVAL: 1.42 pm TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Garrett Backus SJC EHD 209-468-2986 <br /> Jordan Cain Pacific Ethanol 510-904-7314 <br /> Ponder Environmental <br /> Richard Stiffler City of Stockton MUD <br /> Jeff Wait, Compliance 1st, LLC Port of Stockton 1 209-625-8786 <br /> MATERIAL/CLASSIFICATION laemiuuxvomEol <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (La5) (GAL) CU Fn <br /> Corrpro 656 xY O N 150 reported amount <br /> o c <br /> u u <br /> a c <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 1/31/2017 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOX/CSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA X PROP 65/UAR O FILE CREATED <br /> X MANIFEST O REFERRALS 1 O CLEAN UP REPORT 0 OTHER AGENCY REPORTS O EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1. 10/03/12 <br />