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SAN JOAQUIN COUNTY <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> P. (209)468-3420 • Fax;(209) 468-3433 • Web:www.sigov.org/ehd <br /> q�JFO..N\ <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 10/02/17 SHORTTERM#: C00044418 <br /> PREMISEADDRESS:5475 S Airport Way I CITY: Stockton <br /> DBA:XPO Logistics ICROSS STREET:Stimson st. <br /> PREMISE OWNER:Vic 011vas PHONE: 209-983-8285 <br /> OWNER'SADDRESS:5475 S Airport Way _ CITY.Stockton <br /> FACILITY CONTACT:VIC 011vas PHONE:209-983-8285 <br /> RESPONSIBLE PARTY(RP)DBA:XPO Logistics <br /> RP NAME!Vic 011vas PHONE:209-983-8285 <br /> RP ADDRESS:5475 S Airport Way CITY,Stockton <br /> RP CONTACT:VIC 011vas PHONE:209-983-8285 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Release of material due to loosened cap. <br /> TIME RECEIVED: 1.43pm ITIME OF ARRIVAL:5.26pm TIME OF DEPARTURE:6.00pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Aaron Hang SJC EHD 209-468-3453 5:26pm 6:00pm <br /> Vic Olivas XPO Logistics 209-983-8285 UNKN UNKN <br /> MATERIAL/CLASSIFICATION(CHEMIdLINVCMD) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) 0M <br /> Hydrogen Peroxide xY D N -1 pint Approximately 1 pint release <br /> o ❑N <br /> D ON <br /> o ON <br /> c u <br /> ❑Y ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 9/19/17 DATE JAR COMPLETED: N/A <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCEEXPOSURERECORD"COMPLETED? ❑ YES ❑ No <br /> ER BINDER COPIES: <br /> O SHORT-TERM ON TOP X NARRATIVE X MAP D ANALYTICAL DATA ,`� PROP 65/UAR X FILE CREATED <br /> X MANIFEST O REFERRALS n CLEANUP REPORTI $( OTHER AGENCY REPORTS 1 ❑ EXPOSURE RECORD XPHOTOS <br /> ER RECORD Page 1 10/03/12 <br />