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SAN <br /> J O A Q U I N Environmental Health Department <br /> U ,`.f i <br /> EMERGENCY RESPONSE RECORD <br /> Date: July 08, 2019 Short Term#: C00050077 <br /> Premise Address: 32003 S TRACY BLVD City: TRACY <br /> Premise DBA: Cross Street: CORRAL HOLLOW <br /> Premise Owner: SUKHRAJ SINGH Owner's Phone: <br /> Mailing Address: 7200 W 11 TH ST Owner City: TRACY <br /> Facility Contact: SUKHRAJ SINGH Contact Phone: <br /> RP DBA: LMDirt Movers <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 2129 Naglee Rd. RP City: Tracy <br /> RP Contact: Shane Ledbetter Contact Phone: (209)834-4708 <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> CS-1901103 BRINGING DIRT ONTO THE PROPERTY. SOME OF THE DIRT CONTAINS HAZARDOUS WASTE. <br /> Time Received: 4:30 pm Time of Arrival: 10:00 am Time of Departure: 11:00 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: Date LIAR 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 />