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SAN ,10AQUIN Environmental Health Department <br /> C 0 U f- - <br /> EMERGENCY RESPONSE RECORD <br /> Date: January 28, 2021 Short Term#: C00053349 <br /> Premise Address: 6163 S MOBLEY RD City: STOCKTON <br /> Premise DBA: Cross Street: <br /> Premise Owner: CHIAPPE FARMS INC Owner's Phone: (209)471-5791 <br /> Mailing Address: 5149 S STANLEY RD Owner City: STOCKTON <br /> Facility Contact: TONY CHAIPPE Contact Phone: (209)471-5791 <br /> RP DBA: PG&E <br /> Onsite RP Name: PG&E Onsite RP Phone: (209) 337-8902 <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 /> 25 GALLONS MINERAL OIL SPILLED INTO A FLOODED FIELD. <br /> Time Received: 9:28 am Time of Arrival: 10:30 am Time of Departure: 12:40 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> JOHN ALANIZ SJCEHD (209)616-3053 10.30 am 12:40 am <br /> DAVE LARSEN PG&E 11:45 am <br /> STEVE CHIAPPE CHIAPPE FARMS 11:45 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(oafl GAS(cu ftl COMMENTS <br /> MINERAL OIL 25.00 ❑ z ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: January 28, 2021 Date LIAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ONO <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 />