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/4�1" SAN ]OAQUIN COUNTY <br /> �Fi _oc <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> i<. (209) 468-3420 • Fax.(209) 468-3433 • Web:www.sjgov.org/ehd <br /> �I F�O�N <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Friday, July 10, 2015 ISHORT TERM#: C00040006 <br /> PREMISE ADDRESS:85 E Louise Ave. CITY: Lathrop <br /> DBA:ARCO 06080 CROSS STREET:Old Harlan Rd. <br /> PREMISE OWNER:BP WEST COAST PRODUCTS LLC PHONE:(360) 371-1500 <br /> OWNER•SADDRESS:4519 GRANDVIEW ROAD, BUILDING 1 CITy:BALINE , WA <br /> FACILITY CONTACT:Sara Samuels PHONE:(360) 255-9743 <br /> RESPONSIBLE PARTY(RP)DBA:ARCO 06080 <br /> RPNAME:JAMIL KABARITI PHONE:209-983-9144 <br /> RPADDRESS:85 E Louise Ave. CITY:Lathrop <br /> RP CONTACT:Sara Samuels PHONE:(360) 255-9743 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Gasoline spill. <br /> TIME RECEIVED:0900 TIME OF ARRIVAL: 1535 TIME OF DEPARTURE: 1605 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Robert Lopez SJC EHD (209) 953-6214 1535 1605 <br /> Muniappa Naidu SJC EHD (209) 468-3439 1535 1605 <br /> MATERIAL/CLASSIFICATION IacMicu invauEol <br /> IDENTIFICATION SPILLED SOLID LIQUID <br /> )Cam COMME(GAQNTS <br /> Gasoline X Y D N 1 oz. Spilled gasoline was removed with <br /> D Y D N absorbent and contained in a 55 gal. <br /> o Y o N drum, labeled hazardous waste, solid <br /> ❑Y ON <br /> OY ON <br /> DY ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOWSUBSTANCE EXPOSURE RECORD"COMPLETED? D YES D NO <br /> ER BINDER COPIES: <br /> }( SHORT-TERM ON TOP ❑ NARRATIVE XMAP ❑ ANALYTICAL DATA ❑ PROP 6S/UAR D FILE CREATED <br /> ❑ MANIFEST O REFERRALS O CLEANUP REPORT B( OTHER AGENCY REPORTS ❑ EXPOSURE RECORD I X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />