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SANJ O A Q U I N Environmental Health Department <br /> 0UIUTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: February 06, 2019 Short Term#: C00048730 <br /> Premise Address: 1910 LATHROP RD City: LATHROP <br /> Premise DBA: CON-FAB CALIFORNIA CORP Cross Street: <br /> Premise Owner: NMK ENTERPRISES LLC Owner's Phone: <br /> Mailing Address: 1910 LATHROP ROAD Owner City: LATHROP <br /> Facility Contact: NMK ENTERPRISES LLC Contact Phone: <br /> RP DBA: CON-FAB CALIFORNIA CORP <br /> Onsite RP Name: RIGO GARCIA Onsite RP Phone: (209)249-4719 <br /> Mailing Address: 1910 LATHROP ROAD RP City: LATHROP <br /> RP Contact: Contact Phone: <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> A TOTE WAS PUNCTURED RELEASING APPROXIMATELY 100 GALLONS OF WRDA-64. NO STORM DRAINS OR <br /> WATERWAYS WERE IMPACTED. CLEAN UP IN PROGRESS. <br /> Time Received: 1:30 pm Time of Arrival: 2:30 pm Time of Departure: 3:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Jason Gaitan SJCEHD (209)468- 2:30 pm 3:00 pm <br /> Cesar Ruvalcaba SJCEHD (209)953-6213 2:30 pm 3:00 pm <br /> Mike Hein Con-Fab (209)249-4713 <br /> Rigo Garcia Con-Fab (209)249-4719 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibsl LIQUID hall GAS(cu ft) COMMENTS <br /> WRDA 64 175.00 ❑ 21 ❑ WRDA 64 is described as being a concret <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: February 06, 2019 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? []YES 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 />