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PUBLIC HEALTH SERVICES .61 <br /> SAN JOAQUIN CUUNI'Y <br /> .. c <br /> JUGI KHANNA M.D.,M.P.H. "' A <br /> Ilealth UI(itrr '� <br /> P.U. flux 2009 . (f60I Cast Hazeh(in Avenue) . Sw(kum, California 951U1 �.UFriirw <br /> (209) 469-3.100 <br /> EMP.ROENCY RI!SPONSI! RpcoRI) <br /> DIsTRTcr tt 3 a b DA-IF Alllqf sr p 7iC�i <br /> PREMISR ADDRP.SS 1 71005. 1-far-6,jR 1 /,PA o CA 9533o <br /> DEA � . R- Ccnr ppNrpr ON Lbn rrJc. <br /> PREMISE OWNER 9r,A. C=P C e ses aT <br /> ADDRESS 5601 W era z9a C i e�- e'4v n4 o so <br /> FACILITY CONTACT fPve r �ab�la Di ,�cioN Mai ao er ?08 9fr�-Y&tro <br /> x <br /> NATURE OF COMPLAINT(taplosion,spill,leak fire,or abandon/dumped mnrraial): Po/y urrf 1aa f'aeow .. <br /> �• o u c(,� i•n r(� <br /> 5>vok eeu , PUacu .,.o <br /> 'TIME REcPIvED /e, 30 aM 11ME or ARRIVAL_ l l ; to aM TImp or OCPAIt rURIt ti/2: 30 LM <br /> PERSONS AT SCENE <br /> NAME AUENCY PQUNI? NU. 7OA TUU <br /> s EC0.-(. F•A. -g5 -zs31 <br /> 949*m94 <br /> l(, r Pi- Q <br /> C , „• Ec [. V <br /> O U DN <br /> IDP.N7'IFICA7TUNOrMATERtAL(airanau.tttvoivm) Palttur-a+kctr` P- -fpatM <br /> SUBSTANCE FORM: SOLID O POWDER I ) UAS I ) I.IOUID I I GRANULE <br /> Shro1Ze.. <br /> REFERRALS TO: DATE MAII.1lD: <br /> DATE COMPLETED: PROP 6.1 — LIAR— <br /> PERSONS EXPOSED and/or INJURED <br /> AME ADDRMSS PI IONI? NU. <br /> SPQ Der50,yq,1 Terre ubsFuNte t�c�cnctr'Q, ReeorrAs a �( E R Carne -Jei• <br /> +r/ia� f 00 f /ri�P Pwt� s fa Smek� <br /> vs a A r' a ,Shia 2 ar k <br /> _i ,x r -kr c Pte+ rhe <br /> st? p riL 2 /19/ <br /> J <br /> INVES110ATIONREPORT(meuintFmmnc,4cum.ur,u[wmmLmmnoNs. eeurl: Ad oEna¢ TrI.00 <br /> ecc(. I. •i �o f ..o/ r / <br /> _ /)tic {k /'ere 5-Tnr / i &•ve -i•IP r 1 PrKrca.tcr R <br /> -` J <br /> FILP.CRFnT1!D I ) MAP tNCLUDI!D CI SIIOR'I 'ITlI(M A'1'IA(:IIED Pit 1.11.1!COPY <br /> A Nvitinn of Son Jna.lnln Cnnnq I lnlih Ger Servi,ra <br />