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SAN J O A Q U I N Environmental Health Department <br /> EMERGENCY RESPONSE RECORD <br /> Date: October 30,2019 Short Term#: COEIRX5MW <br /> Premise Address: 13613 W BYRON RD City: TRACY <br /> Premise DBA: Cross Street: VON SOSTEN RD <br /> Premise Owner: SANDHU, MANINDER Owner's Phone: <br /> Mailing Address: 3972 W DURHAM FERRY RD Owner City: TRACY <br /> Facility Contact: SANDHU, MANINDER Contact Phone: <br /> RP DBA: PG&E <br /> Onsite RP Name: NATHAN CHRISTMAN Onsite RP Phone: (559)410-5011 <br /> Mailing Address: 3136 BOING WAY RP City: STOCKTON <br /> RP Contact: NATHAN CHRISTMAN Contact Phone: (559)410-5011 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> 3-5 GALLONS OF BIO CLEAN CLEANING SOLUTION SPILLED ONTO SOIL. PH BETWEEN 7-9. SPILL CLEANED UP. <br /> Time Received: N(cam Time of Arrival: W q— Time of Departure: // <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> BIO CLEAN SOLUTION 5.00 ❑ ❑D ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: /V Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? DYES ❑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 />