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SAN JOAQUIN <br /> Environmental Health Department <br /> � <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 16, 2019 Short Term#: C00049820 <br /> Premise Address: 12500 W WALNUT GROVE RD City: WALNUT GROVE <br /> Premise DBA: Cross Street: LAMB <br /> Premise Owner: SILVERDALE FARMS Owner's Phone: <br /> Mailing Address: PO BOX 1340 Owner City: WALNUT GROVE <br /> Facility Contact: SILVERDALE FARMS Contact Phone: <br /> RP DBA: PG&E <br /> Onsite RP Name: DAVE LARSEN Onsite RP Phone: (209)401-9719 <br /> Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br /> RP Contact: ALEX STEELE Contact Phone: (209)337-8902 <br /> NATURE OF RESPONSE(explosion, spill, leak,fire, or abandoned/dumped material <br /> 7 GALLONS OF NON-PCB MINERAL OIL RELEASED FROM POLE-MOUNTED TRANSFORMER <br /> Time Received: 1:40 pm Time of Arrival: 2:34 pm Time of Departure: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA LO <br /> Claudia Muro SJC EHD (209)468-3429 2:34 pm <br /> Dave Larsen PG&E (209)401-9719 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(call GAS(cu ft) COMMENTS <br /> Mineral Oil 7.00 ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: May 20, 2019 Date UAR 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 />