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Environmental Health Department <br /> SAN�JOAQUIN <br /> COUNTY— <br /> EMERGENCY RESPONSE RECORD <br /> Date: December 15, 2017 Short Term#: C00045285 <br /> Premise Address: 3 S PACIFIC AVE City: LODI <br /> Premise DBA: LODI UNIFIED SCHOOL DISTRICT Cross Street: HAM <br /> Premise Owner: LODI UNIFIED SCHOOL DISTRICT Owner's Phone: (209) 993-5154 <br /> Mailing Address: Owner City: <br /> Facility Contact: MITCH SLATER- DIRECTOR MAINTENANCE ( Contact Phone: (209) 993-5154 <br /> RP DBA: LODI UNIFIED SCHOOL DISTRICT <br /> Onsite RP Name: MITCH SLATER - DIRECTOR MAINTENANCI Onsite RP Phone: (209) 331-7181 <br /> Mailing Address: 1305 E Vine St RP City: Lodi <br /> RP Contact: MITCH SLATER- DIRECTOR MAINTENANCE( Contact Phone: (209) 331-7181 <br /> NATURE OF RESPONSE (explosion, spill, leak fire or abandoned/dumped material <br /> COMPLAINANT ALLEGES ON 12/15/2017 AT APPROXIMATELY 5:00 AM A CONTAINER STORING CHEMICALS <br /> CAUGHT FIRE. SOME OF THE CHEMICAL MIXTURE HAS GONE DOWN THE STORM DRAIN, SPILL CENTER <br /> REPORT NUMBER 17-8895. <br /> Time Received: 8:00 am Time of Arrival: 9:49 am Time of Departure: 9:00 pm <br /> PERSONS AT SCENE �� <br /> Maintenance & Op*sations <br /> NAME AGENCY Lodi <br /> Stacy Rivera SJCEHD Mailing 1305 East Vine St MITCH SLATER <br /> Shipping 31 NPacific Ave Director <br /> Garrett Backus SJCEHD Lodi,CA 95240 <br /> Maintenance &Operations <br /> Joe Ormonde Ramos Environmental Safe . <br /> Mitch Slater LUSD Director Maintenance Ph 209-331-7181 f`f Secure <br /> Jill Davis LUSD Fax 209-331-7632 Risk Management "Making a difference— <br /> ( Email mslater@lodiusd.nat one classroom at a time" <br /> MATERIAL/CLASSIFICATIONchemical involveds <br /> MATERIA I AMOUNT 5_QLIQllltal I IQUID(aan y <br /> Custodial chemicals ❑ ❑ ❑ Custodial chemicals were stored in a port- <br /> El <br /> ort❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> RFFFRRED TO(NAME AND DATE MAILED <br /> Date Prop 65 Completed: December 15, 2017 Date LIAR Completed: <br /> IF PERSONS EXPOSED andror INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD'COMPLETED? DYES ONO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />