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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> aB (209) 468-3420 • Fax:(209) 468-3433 • Web:www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Saturday, October 24, 2015 SHORT TEF o 4P L Z- <br /> PREMISE ADDRESS:2400 E Louise Ave/ 16888 McKinley Ave Cin.. Lathrop <br /> DSA:Super Store Industries CROSS STREET: <br /> PREMISE OWNER:Super Store Industries PHONE: <br /> OWNER'S ADDRESS:2800 W March Lane, Suite 210 CITy,Stockton <br /> FACILITY CONTACr:Tom Hughes, Operations Manager PHONE:209-858-3365 <br /> RESPONSIBLE PARTY RPI DBA:Super Store Industries <br /> RPNAME:Tom Hughes, Operations Manager PHONE:209-858-3365 <br /> RP ADDRESS:16888 McKinley Ave CITy,Lathrop <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Leak of diesel from refrigerator trailer tank. <br /> TIME RECEIVED: 10-23, 11:48 am ITIME OF ARRIVAL: 10-24, 9 am TIME OF DEPARTURE: 10-24, 9:30 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE Q TOD <br /> Garrett Backus SJC EHD (209)468-2986 9 am 9:30 am <br /> Shawn Fraser Super Store Industries 858-3371 <br /> MATERIAL/CLASSIFICATION CHLMIULMVMWDI <br /> IDENTIFICATION PI SOUR LOW im COMMENTS <br /> 05) W WF <br /> Diesel X D N 5-7 Spill onto asphalt only. <br /> uY u <br /> uY u <br /> DY c <br /> OY ON <br /> uY uN <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 10-26-15 1 DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? u YES ❑ NO <br /> RBI R PIES: <br /> X SHORT-TERM ON TOP O NARRATIVE X MAP C ANALYTICAL DATA X PROP 65/LIAR 0 FILE CREATED <br /> C MANIFEST O REFERRALS o CLEAN UP REPORT C OTHER AGENCY REPORTS ji u EXPOSURE RECORD I X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />