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)oPq .co SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E Main Street Stockton CA 95202 <br /> (209) 468-3420 ■ Fax: (209) 464-0138 ■ Web: www.sjgov.org/ehd <br /> �q`I F•o.R��P <br /> EMERGENCY RESPONSE RECORD <br /> DATE: April 11, 2011 SHORT TERM//: C00033414 <br /> PREMISE 305 S Guild Ave CITY: Lodi <br /> ADDRESS: <br /> DBA: Central California Traction Company <br /> PREMISE OWNER: Central California Traction Company PHONE: 466-6927 <br /> OWNER'S ADDRESS: 2201 W Washington St. #12 CITY: Stockton <br /> FACILITY CONTACT: Dave Buccolo, General Manager PHONE: 466-6927 <br /> RDBA:ESPONSIBLE PARTY (RP) Central California Traction Company <br /> RP <br /> NAME: Central California Traction Company PHONE: 466-6927 <br /> RP ADDRESS: 2201 W Washington St. #12 CITY: Stockton <br /> RP CONTACT: Dave Buccolo, General Manager PHONE: 466-6927 <br /> NATURE OF COMPLAINT(explosion, spill, leak, fire, or abandoned/dumped material) <br /> Spill of diesel fuel from a big rig accident. <br /> TIME 2:20 pm TIME OF 3:00 pm TIME OF DEPARTURE: 3:30 pm <br /> RECEIVED: I ARRIVAL: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Garrett Backus EHD 468-2986 3:00 pm 3:30 pm <br /> IDENTIFICATION OF MATERIAL(CHEMICAL INVOLVED) <br /> SUBSTANCE FORM SOLID POWDER GAS I x LIQUID GRANULE <br /> REFERRALS TO: I DATE MAILED: <br /> DATE COMPLETED....PROP 65: Aril 11,2011 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 /> x I SH RT-TERM ON TOP I x I NARRATIVE A ALYTICAL DATA x PROP 65 UAR <br /> EXPOSURE RECORD MANIFEST CLEANUP REPORT OTHER A ENCY RE RTS <br /> REFERRALS x MAP ILE REATED <br /> ER RECORD MODIFIED Page Iof3 05/01/2007 <br />