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SJC EHD (209) 616-3036 JASON GAITAN <br />TOA TOD PHONE AGENCY <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (cu ft) COMMENTS <br />NAME <br />PERSONS AT SCENE <br />MATERIAL / CLASSIFICATION (chemical involved) <br />USED OIL 50.00 <br />I=1 <br />SANAAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: March 09, 2021 Short Term #: CONX7DMFD <br />Premise Address: 720 W VENTURA AVE City: STOCKTON <br />Premise DBA: Cross Street: W. HAZELTON AVE <br />Premise Owner: CITY OF STOCKTON PUBLIC WORKS Owner's Phone: <br />Mailing Address: 2500 NAVY DRIVE Owner City: STOCKTON <br />Facility Contact: CITY OF STOCKTON Contact Phone: <br />RP DBA: CITY OF STOCKTON <br />Onsite RP Name: 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 />OIL, SOLVENTS, MISC. ON ROAD. <br />Time Received: 11:30 am Time of Arrival: 2:00 pm Time of Departure: 2:30 pm <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: 0/4 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? DYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209468-34201 F 209 464-0138 I www.sjgov.org/EHD