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SO Pp s.CQG\ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N; <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> �. , (209) 468-3420 • Fax:(209) 468-3433 • Web;www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 11-17-2015 SHORTTERM#: COLG5PGJR <br /> PREMISE ADDRESS:6540 S Austin Rd., Stockton, CA CITY: Stockton <br /> DBA;BNSF CROSS STREET:Arch Rd. <br /> PREMISE OWNER: BURLINGTON NO & SANTA FE RR CO PHONE: <br /> OWNER'S ADDRESS:740 E CARNEGIE DR CITY:SAN BERNARDINO, CA 92 <br /> FACILITY CONTACT:games Farner (BNSF) PHONE:909-267-5167 <br /> RESPONSIBLE PARTY(RP)DBA:BNSF (BURLINGTON NO & SANTA FE RR CO) <br /> RP NAME: BURLINGTON NO & SANTA FE RR CO PHONE:909-267-5167 <br /> RPADDRESS:740 E CARNEGIE DR CITY:SAN BERNARDINO, CA 92 <br /> RP CONTACT:James Farner (BNSF) PHONE:909-267-5167 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Leak or corrosive liquid inside the shipping container due to load shift during transportation. The leak was <br /> discovered upon arrival at the intemodal facility (6540 S Austin Rd., Stockton, CA) <br /> TIME RECEIVED:3.30 pm TIME OF ARRIVAL:5.30 pm TIME OF DEPARTURE:8:10 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD 209-953-7699 5:30 pm 8:10 pm <br /> O <br /> �n Patriot Env. 916-396-0962 NA NA <br /> Patriot Clean up crew NA NA NA NA <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> Beypoxy 10008 XY ❑N NA on the floor of the shipping cont. <br /> Absorbent ❑Y X N NA clean up debris <br /> o o <br /> o o <br /> ❑Y ❑N <br /> o c <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 11-19-2015 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP ❑ NARRATIVE ❑ MAP ❑ ANALYTICAL DATA X PROP 65/LIAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT 1 ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />