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S A N X10 A Q U I N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: September 08, 2020 Short Term#: COK1A5ETZ <br /> Premise Address: 8665 WEST RIPON RD City: MANTECA <br /> Premise DBA: Cross Street: ALICE RD <br /> Premise Owner: HERMAN&LYNETTE VAN LAAR Owner's Phone: <br /> Mailing Address: 8665 WEST RIPON RD Owner City: MANTECA <br /> Facility Contact: HERMAN&LYNETTE VAN LAAR Contact Phone: <br /> RP DBA: PACIFIC GAS&ELECTRIC CO <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br /> RP Contact: ALEX STEELE Contact Phone: (209)337-8902 <br /> NATURE OF RESPONSE(explosion,spill, leak, fire, or abandoned/dumped material <br /> THREE POLE-MOUNTED TRANSFORMERS WERE KNOCKED DOWN BY WIND CAUSING TWO TRANSFORMERS TO <br /> SPILL 40 GALLONS OF OIL TO SOIL. <br /> Time Received: 3:00 pm Time of Arrival: 12:42 pm Time of Departure: 1:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> DAVE LARSEN PG&E <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(Qab GAS(cu ft) COMMENTS <br /> TRANSFORMER OIL 40.00 ❑ ❑x ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: September 09, 2020 Date UAR 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 />