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S A,N J QH Q u I ISI Environmental Health Department <br /> COUNTY— <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 03, 2021 Short Term#: C00053754 <br /> Premise Address: 5701 PROMONTORY PKWY City: TRACY <br /> Premise DBA: Cross Street: HANSEN <br /> Premise Owner: MEDLINE CORDES RANCH EAT LLC Owner's Phone: <br /> Mailing Address: ONE MEDLINE PL Owner City: MUNDELEIN <br /> Facility Contact: MEDLINE CORDES RANCH EAT LLC Contact Phone: <br /> RP DBA: MEDLINE INDUSTRIES <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 5701 PROMONTORY PKWY RP City: TRACY <br /> RP Contact: KELLY DURRER Contact Phone: (209) 305-0171 <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> HALF A GALLON TO A GALLON OF DIESEL FUEL LEAKING OUT OF GASKET, SPILL CONTAINED <br /> Time Received: 4:55 pm Time of Arrival: 2:00 pm Time of Departure: 2:30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Lydia Baker SJC EHD (209)616-3046 2:00 pm 2:30 pm <br /> Paul Nso SJC EHD (209)616-3049 2:00 pm 2:30 pm <br /> Kelly Durrer Medline (209) 305-0171 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibsl LIQUID(gad GAS(cu ft t COMMENTS <br /> Diesel 1.00 ❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> Date Prop 65 Completed: May 04, 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 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />