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SAN JOAQUIN COUNTY <br /> y�1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> c .r; (209) 468-3420 • Fax:(209)468-3433 • Web:www.sigov.org/ehd <br /> CFFOkN <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Friday, July 10, 2015 SHORTTERM#: C00040013 <br /> PREMISE ADDRE55:700 Roth Rd. CITY: Lathrop <br /> DBA:N/A ICROSS STREET:Harlan Rd. <br /> PREMISE OWNER:United States Army I PHONE:209-234-1562 <br /> OWNER'S ADDRESS:1759 LOUIS Rd., #210 CITY:Monterey <br /> FACILITY CONTACT:Desiree Blake; Base Manager PHONE:209-234-1562 <br /> RESPONSIBLE PARTY(RP)DBA:HQ U.S.Army Garrison, Presidio Monterey <br /> RP NAME:Desiree Blake; Base Manager PHONE:209-234-1562 <br /> RP ADDRESS: 1759 Louis Rd., #210 CITY.Monterey <br /> RP CONTACT:Desiree Blake; Base Manager PHONE;209-234-1562 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Emergency response; discharge of transformer oil and fire due to mechanical failure. <br /> TIME RECEIVED: <br /> 1400 ITIME OF ARRIVAL: 1430 TIME OF DEPARTURE: 1530 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Robert Lopez SJC EHD 2099536214 4130 1545 <br /> Muniappa Naidu SJC EHD 2094683439 1445 1545 <br /> MATERIAL/CLASSIFICATION(aMm INVDLWDI <br /> IDENTIFICATION SPILLED? SOLID LIQUID(LBS) (GAL) (NFT) COMMENTS <br /> Transformer oil p(Y CIN =/-200 Samples out for PCB determination <br /> o CN <br /> D ❑N <br /> a ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 6S COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> jSHORT-TERM ON TOP 5 NARRATIVE JE MAP C ANALYTICAL DATA N PROP 65/UAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT X OTHER AGENCY REPORTS ❑ EXPOSURE RECORD I X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />