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SAN JOAQUIN COUNTY <br /> iN {I <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax:(209) 468-3433 • Web;www.sigov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE:Monday, July 14, 2014 SHORTTERMN: CO OO-3pp <br /> zq <br /> PREMISE ADDRESS:1990 E. PICColi Rd. CITY:Stockton <br /> DBA:Unified Grocers CROsssTREET:Waterloo Rd. <br /> PREMISE OWNER: PHONE: <br /> OWNER'S ADDRESS: CITY' <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:Unlfied Grocers, Inc. <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY' <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material <br /> The oil/water separator overflowed into the storm drain on site. <br /> TIME RECEIVED:1.45 PM TIME OF ARRIVAL:2.40 PM TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY M468-3440 <br /> TOA TOD <br /> Stacy Rivera SJC EHD 40 2:40 PM 4Kim Powers Unified Grocers 29 on site <br /> Mike Young Unified Grocers 183 on site <br /> Glenn Curry Unified Grocers 401 on site <br /> Rudy Garcia Morgan Environ. Services636 on site <br /> MATERIALICLASSIFICATION Iaemruinvonml <br /> IDENTIFICATION SPILLED? SOLID U UID GAS COMMENTS <br /> BS GAL) JW FO <br /> Oily water x Y D N <10 Amount estimated 5-10 gallons <br /> DY ON <br /> OY DN <br /> ❑Y ON <br /> DY ON <br /> Dy ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 7/14/14 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? D YES B] NO <br /> ER B <br /> $J SHORT-TERM ON TOP Jq NARRATIVE I Je7 MAP ❑ ANALYTICAL DATA 7tl PROP 65/UAR ❑ FILE CREATED <br /> )q MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT I4 OTHER AGENCY REPORTS ❑ IXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br /> r.. <br />