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„�” J O A Q U ( N Environmental Health Department <br /> -�-- COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: April 09,2021 Short Term#: C00053658 <br /> Premise Address: 2323 PORT RD A City: STOCKTON <br /> Premise DBA: Lineage Logistics Cross Street: WASHINGTON <br /> Premise Owner: STOCKTON PORT DISTRICT Owner's Phone: <br /> Mailing Address: PO BOX 2089 Owner City: STOCKTON <br /> Facility Contact: STOCKTON PORT DISTRICT Contact Phone: <br /> RP DBA: LINEAGE LOGISTICS <br /> Onsite RP Name: LINEAGE LOGISTICS Onsite RP Phone: (209)292-1516 <br /> Mailing Address: 2323 PORT ROAD A RP City: STOCKTON <br /> RP Contact: MIKE FRITCH Contact Phone: (209)292-1516 <br /> NATURE OF RESPONSE (explosion,spill, leak,fire, or abandoned/dumped material <br /> COMPLAINANT STATES THERE WAS A RELEASE OF AN UNKNOWN AMOUNT OF ANHYDROUS AMMONIA TODAY <br /> AT 5:OOAM. <br /> Time Received: 8:27 am Time of Arrival: 10:00 am Time of Departure: 10:30 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> HAZA SAEED EHD (209)953-6212 10:00 am 10:30 am <br /> VICKY YANG-LEE EHD (209)616-3028 10:00 am 10:30 am <br /> MICHAEL FRITCH LINEAGE LOGISTICS (209)292-1516 <br /> JERRY JAYSTREAM LINEAGE LOGISTICS (209)403-7974 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> ANHYDROUS AMMONIA 7.7lbs ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: April 09,2021 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 />