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SAN `J O A Q U I N Environmental Health Department <br /> COUNTY- - <br /> EMERGENCY RESPONSE RECORD <br /> Date: October 21, 2020 ShortTerm#: COVG2NJML <br /> Premise Address: 1297 GENTRY CT City: TRACY <br /> Premise DBA: Cross Street: NELSON LN. <br /> Premise Owner: PATEL, SHARDA M TR Owner's Phone: <br /> Mailing Address: 30824 TIDEWATER DR. Owner City: UNION CITY <br /> Facility Contact: PATEL, SHARDA M TR Contact Phone: <br /> RP DBA: <br /> Onsite RP Name: KIMBERLY MALDONADO Onsite RP Phone: <br /> Mailing Address: RP City: <br /> RP Contact: Contact Phone: <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> PER NRC "CALLER IS REPORTING THE RELEASE OF AN UNKNOWN AMOUNT OF OIL FROM SEVERAL CARS AND <br /> THE RP IS NOT CLEANING IT UP. CALLER STATES THAT THE OIL IS ALL OVER THE DRIVEWAY AND ROAD. <br /> Time Received: Time of Arrival: Time of Departure: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gad GAS(cu ft) COMMENTS <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> Date Prop 65 Completed: Date UAR 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.sjgov.org/EHD <br />