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SAN <br /> J O ` Q U I N Environmental Health Department <br /> U i•J i <br /> EMERGENCY RESPONSE RECORD <br /> Date: August 19, 2019 Short Term#: C00050328 <br /> Premise Address: 17000 E HWY 120 City: RIPON <br /> Premise DBA: Franzia Winery Cross Street: MURPHY <br /> Premise Owner: Franzia Winery Owner's Phone: (209)599-4111100020 <br /> Mailing Address: PO BOX 90 Owner City: RIPON <br /> Facility Contact: Kevin Jones Contact Phone: (209)599-0433 <br /> RP DBA: FRANZIA WINERY <br /> Onsite RP Name: KEVIN JONES Onsite RP Phone: (209)599-0433 <br /> Mailing Address: PO BOX 90 RP City: RIPON <br /> RP Contact: KEVIN JONES Contact Phone: <br /> NATURE OF RESPONSE(explosion,spill, leak, fire, or abandoned/dumped material <br /> LESS THAN 1 POUND OF AMMONIA RELEASED. <br /> Time Received: 8:05 am Time of Arrival: 10:00 am Time of Departure: 10:25 am <br /> PERSONS AT SCENE <br /> NAME AGEN Y PHONE TOA 2 <br /> KEVIN JONES FRANZIA WINERY (209)481-5950 <br /> HAZA SAEED SJC EHD (209)953-6212 10:00 am 10:25 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibsl LIQUID(call GAS(cu ftl COMMENTS <br /> ANHYDROUS AMMONIA 1.00 POUND ESTIMATED ❑ ❑O ❑x <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: August 19, 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 />