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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N:rVd <br /> / 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> �. p (209) 468-3420 • Fax;(209) 468-3433 • Web;www.sjgov.org/ehd <br /> 4<IFpP N� <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 11-7-2016 <br /> SHORT TERM#: C'Q <br /> PREMISE ADDRESS:next to 25775 Patterson Pass Road <br /> CIN: <br /> DBA;Quality Carriers 1580 E <br /> CROSS STREET: " <br /> PREMISE OWNER: <br /> PHONE: <br /> OWNER'S ADDRESS: <br /> CITY: <br /> FACILITY CONTACT; PHONE:440-349-2700 <br /> RESPONSIBLE PARTY(RP)DBA:ERTS <br /> RP NAME:Quality Carriers <br /> PHONE:440-349-2700 <br /> RP ADDRESS: <br /> CITY: <br /> RP CONTACT: <br /> PHONE: <br /> NATURE OF RESPONSE(explosion,Spill,leak,fire,or abandoned/dumped material) <br /> A tanker truck was missing the washout cap on the lid on top of the tank resulting in the release of <br /> approximately 1/2 gallon of corrosive liquid (Clariofloc C-308) onto the roadway <br /> TIME RECEIVED:3:30 pm TIME OF ARRIVAL:5.15 pm <br /> TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY FHS Q 9P <br /> Elena Manzo SJC EHD 209-953-7699 5:15 pm <br /> Patriot clean up crew Patriot Env. - q-014 onsite o ite <br /> taQO I�'� <br /> MATERIAL/CLASSIFICATION I.E.IMINwweol <br /> IDENTIFICATION SPILLED? soup LIQUID am COMMENTS <br /> Clarifloc C-308 <br /> X Y O N Las 1/2 <br /> GAL cu Frl <br /> waste absorbent a B(N 55 clean up debris <br /> u ON <br /> n UN <br /> o UN <br /> UY UN <br /> REFERRALS AND NOTIFICATIONS <br /> REFERR-EDTO MAMF AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? U YES U No <br /> ER BINDER COPIES: <br /> JBt SHORT-TERM ON TOP X NARRATIVE X MAP U ANALYTICAL DATA PROP 65/UAR U FILE CREATED <br /> X MANIFEST U REFERRALS U CLEANUP REPORT U OTHER AGENCY REPORTS U EXPOSURE RECORD pt PHOTOS <br /> ER RECORD Page 1 <br /> 10/03/12 <br />