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� IY <br /> i` <br /> r <br /> oqu in, oII <br /> >n— SAN JOAQUIN COUNTY <br /> 2; -W-sv i <br /> { ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 - Fax:(209) 468-3433- We6:www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> ( IY <br /> DATE: 4/30/2013 ' C00036342 <br /> SHORTTERM#: <br /> PREMISEADDRESS:700 E Roth Rd., i cITYc Lathrop <br /> DBA:Sharpe Defence Logistics Agnecy,H(DLA) ii CROs STREET:Airport Way <br /> PREMISE OWNER:DLA I <br /> PHONE: <br /> OWNER'S ADDRESS: iI. CITY: <br /> FACILITY CONTACT: PHONE: <br /> 1 <br /> RESPONSIBLE PARTY(RP)DBA:Not Provided <br /> s <br /> RP NAME: if PHONE: <br /> RP ADDRESS: k CITY: <br /> RP CONTACT: II <br /> ) PHONE: <br /> !NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Officers complaining of tingling and numbness of fingers aril a metallic taste in mouth after search of a <br /> Suburban SUV. =i <br /> TIME RECEIVED:1 155 TIME OF ARRIVAL: 1220 TIME OF DEPARTURE: 1430 <br /> EV <br /> PERSONS AT SCENE <br /> NAME AGENCY Il PHONE TOA TOD <br /> Robert Lopez SJC EHD j 2099536214 1220 1430 <br /> I. El <br /> E <br /> I !! <br /> �i <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) I� <br /> IDENTIFICATION SPILLED? SOLID LI UID GAS COMMENTS <br /> i [LBS] (GAL) (CU FTI <br /> ❑Y ❑N <br /> i <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> i <br /> ❑Y ❑N <br /> nY ❑N <br /> I REFERRAL$AND NOTIFICATIONS <br /> REFERREDTO INAMEAND ADDRESSI 'l DATE MAILED <br /> I< <br /> Is <br /> d <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCEEXPOSL&IRERECORL)"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP K NARRATIVE X MAP ❑ ANALYTICAL DATA ❑ PROP 65/LIAR o FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 q 10/03/12 <br /> j <br />