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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> ,( (209) 468-3420 • Fax:(209) 468-3433 • Web;www.sjgov.org/ehd <br /> \\irORa <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 6/7/2018 SHORT TERM#: C00046889 <br /> PREMISEADDRESS: HWY 99 Frontage Road CITY:Stockton <br /> DBA:Roadside ICROSS STREET: Roth Road <br /> PREMISE OWNER:County Right of Way PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:Unknown <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Unknown regulated substance in pill form was dumped out of a moving vehicle <br /> TIME RECEIVED: Apn TIME OF ARRIVAL: O� TIME OF DEPARTURE: L Q <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD 209-953-7699 $(.R, <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GASLBS (GAL) CU FT) COMMENTS <br /> Suspect Fentanyl XY ❑N NA <br /> o ❑N <br /> o ❑N <br /> o ❑N <br /> o ❑N <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: I DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA ❑ PROP 65/LIAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />