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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: April 16, 2021 Short Term #: COZGNPEQB <br />Premise Address: 14201 W HVVY 4 City: STOCKTON <br />Premise DBA: Cross Street: BACON ISLAND <br />Premise Owner: BRAKE PROPERTIES LLC Owner's Phone: <br />Mailing Address: PO BOX 2970 Owner City: DUBLIN <br />Facility Contact: BRAKE PROPERTIES LLC Contact Phone: <br />RP DBA: <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 />9400 GALLON PROPANE TRUCK ON ITS SIDE. NOT SURE IF IT IS LEAKING. <br />Time Received: 3:21 pm 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 (dal) GAS (Cu ft) COMMENTS <br />0 0 0 <br />0 O 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD' COMPLETED? OYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD