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SAN J O A Q U I N Environmental Health Department <br /> C,! U N 1 Y <br /> EMERGENCY RESPONSE RECORD <br /> Date: September 28, 2020 Short Term#: C00052721 <br /> Premise Address: 23243 E LONE TREE RD City: ESCALON <br /> Premise DBA: Cross Street: SEXTON <br /> Premise Owner: PONDA ROCHA LAND CO LP Owner's Phone: <br /> Mailing Address: 23125 E LONE TREE RD Owner City: ESCALON <br /> Facility Contact: PONDA ROCHA LAND CO LP Contact Phone: <br /> RP DBA: PG&E <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br /> RP Contact: CELIA BARAJAS Contact Phone: (925)519-4750 <br /> NATURE OF RESPONSE(explosion,spill, leak, fire,or abandoned/dumped material <br /> MINERAL OIL SPILL. 8-10 GALLONS <br /> Time Received: 3:24 pm Time of Arrival: Time of Departure:�r <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD (209)616-3066 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> Mineral Oil 10.00 ❑ ❑x ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: September 29, 2020 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.sjgov.org/EHD <br />