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SA N J O A Q U I N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: October 07, 2017 Short Term#: COAYLKIFI <br /> Premise Address: 15250 THORNTON RD City: LODI <br /> Premise DBA: Cross Street: HIGHWAY 12 <br /> Premise Owner: LOVES COUNTRY STORES CALIFORNIA Owner's Phone: <br /> Mailing Address: 15 WEST 6TH ST#2400 Owner City: TULSA <br /> Facility Contact: LOVES COUNTRY STORES CALIFORNIA Contact Phone: <br /> RP DBA: SWIFT <br /> Onsite RP Name: JAMES HARPER Onsite RP Phone: (760) 987-4348 <br /> Mailing Address: PO BOX29243 RP City: PHOENIX <br /> RP Contact: DAN COBERLY Contact Phone: (602)477-7043 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> BIG RIG POSSIBLY OVERFLOWED THE FUEL TANK CAUSING THE RELEASE, MATERIAL FLOWED ONTO <br /> CONCRETE AND ASPHALT, ON SITE PERSONNEL HANDLED CONTAINMENTAND CONTRACTOR IS PERFORMING <br /> CLEAN UP. <br /> Time Received: 7:30 pm Time of Arrival: 8:40 pm Time of Departure: 10:30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Cesar Ruvalcaba SJC EHD (209) 953-6213 8:40 pm 10:30 pm <br /> Juan Rubio Patriot Environmental (510) 829-2198 <br /> Geney Lo Loves Travel Services <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(gall GAS(cu ftl COMMENTS <br /> Diesel 120.00 ❑ 19 ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: October 10, 2017 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? OYES 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 />