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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 7;: ) <br /> 600 E Main Street Stockton • CA 95202 <br /> (209) 468-3420 • Fax: (209) 468-3433 • Web:www.sjgov.org/ehd <br /> O <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Thursday, December 15, 2011 SHORT TERM#: <br /> PREMISE ADDRESS: 4980 Buckley Cove Way CITY: Stockton <br /> DBA: <br /> PREMISE OWNER: Stockton Sailing Club PHONE: (209) 951-5600 <br /> OWNER'S ADDRESS: 4980 Buckley Cove Way CITY: Stockton <br /> FACILITY CONTACT: SUZI WasieleWSki PHONE: (209) 321-9975 <br /> RESPONSIBLE PARTY(RP)DBA: <br /> RP NAME: Dennis Davis PHONE: (209) 931-1516 <br /> RP ADDRESS: 71706 Tutuilla Creek Rd. Pendleton OR, 97801 CITY: Pendleton <br /> RP CONTACT: Dock E Slip 33 1980 Buckley Cove Way PHONE: (209) 931-1516 <br /> NATURE OF COMPLAINT(explosion, spill, leak, fire, or abandoned/dumped material <br /> A sheen on the river from an unknown source. Sheen size is 100 by 20 yards. <br /> TIME RECEIVED. 12:10PM TIME OF ARRIVAL: 12:30PM TIME OF DEPARTURE: 2:1 OPM <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Aris Cacapit SJC EHD (209) 468-3453 12:30PM 2:10PM <br /> Dennis Davis responsible party/boat owner (209) 931-1516 <br /> Suzi Wasielewski Stockton Sailing Club (209) 321-9975 <br /> Duke MacGill Stockton Sailing Club (775) 544-1476 <br /> IDENTIFICATION OF MATERIAL(CHEMICAL INVOLVED) red dye diesel <br /> PHYSICAL STATE: ❑ SOLID ❑ POWDER []GAS ❑x LIQUID ❑GRANULE <br /> REFERRALS TO: DATE MAILED: <br /> DATE COMPLETED: PROP 65: Dec 15, 2011 UAR: <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? ❑ YES ❑ NO <br /> E. R. BINDER COPIES: <br /> Z SHORT-TERM ON TOP x NARRATIVE ANALYTICAL DATA x PROP 65/UAR <br /> EXPOSURE RECORD MANIFEST CLEAN UP REPORT El OTHER AGENCY REPORTS <br /> REFERRALS x MAP FILE CREATED <br /> Rev. 08/16/10 Page 1 of 3 ER Record <br />