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SANJ O A Q U I N Environmental Health Department <br /> COUNJ Y <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 13, 2019 Short Term#: COLLW66CY <br /> Premise Address: 6425 N Pacific AVE City: STOCKTON <br /> Premise DBA: Cross Street: Douglas <br /> Premise Owner: LINCOLN PROPERTIES LTD ETAL Owner's Phone: <br /> Mailing Address: 1371 OAKLAND BLVD#200 Owner City: WALNUT CREEK <br /> Facility Contact: LINCOLN PROPERTIES LTD ETAL Contact Phone: <br /> RP DBA: Safeway, Inc. <br /> Onsite RP Name: Aldo Basurto Onsite RP Phone: (925) 580-8131 <br /> Mailing Address: 6000 Stoneridge Mall Rd RP City: Pleasanton <br /> RP Contact: Ron Lee Contact Phone: (925)469-7513 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dum ed material <br /> Approximately 3-4 gallons of unleaded gasoline was released, due to unknown reasons, impacting the concerete pad of a <br /> service station. The release has been stopped and it was cleaned by service station personnel. No waterways were <br /> impacted. <br /> Time Received: 8:15 am Time of Arrival: 10:00 am Time of Departure: 10:42 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> John Alaniz SJC EHD (209) 468-3147 10:00 am 10:42 am <br /> Aldo Basurto Safeway (925) 580-8131 <br /> Karla Carrillo Safeway <br /> MATERIAL/ CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID L_k GAS(cu ft) COMMENTS <br /> Regular Gasoline 4.00 ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: May 13, 2019 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD'COMPLETED? ❑YES ❑NO <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 />