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SAN _JOAQUIN Environmental Health Department <br /> CCNU ;,,1 .iy- <br /> EMERGENCY RESPONSE RECORD <br /> Date: February 09, 2021 Short Term#: COJBAF7LM <br /> Premise Address: 8010 S AIRPORT City: STOCKTON <br /> Premise DBA: Cross Street: STIMSON ST. <br /> Premise Owner: STATE OF CALIFORNIA Owner's Phone: <br /> Mailing Address: 6000 S.AIRPORT WAY Owner City: STOCKTON <br /> Facility Contact: STATE OF CALIFORNIA Contact Phone: <br /> RP DBA.- <br /> Onsite <br /> BA: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 /> APPROXIMATELY 4 EMPLOYEES WERE EXPOSED TO UNKNOWN WHITE POWDER FOUND INSIDE A WHITE <br /> ENVELOPE. <br /> Time Received: 11:58 am Time of Arrival: 12:26 pm Time of Departure: 1:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> SGT. SHEERAN CHP (209) 943-8600 10:58 am <br /> SGT. CRUTCHFIELD CHP (209) 915-6511 10:58 am <br /> E. FOLEY USPS 12:50 pm <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibsl LIQUIDL- GAS(cu ftl COMMENTS <br /> UNKNOWN WHITE PO\ ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> - ❑ ❑ ❑ <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? ❑x 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 />