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S A N A O A Q U I N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: March 26,2021 Short Term#: COWPT5QMU <br /> Premise Address: 10749 W WOODBRIDGE RD City: LODI <br /> Premise DBA: Cross Street: VAN EXEL RD <br /> Premise Owner: WOODBRIDGE FARMS INC Owner's Phone: <br /> Mailing Address: 11292 N ALPINE RD Owner City: STOCKTON <br /> Facility Contact: WOODBRIDGE FARMS INC Contact Phone: <br /> RP DBA: WILBUR ELLIS <br /> Onsite RP Name: WES SERPA Onsite RP Phone: (916)214-7046 <br /> Mailing Address: 841 W ELKHORN BLVD RP City: RIO LINDA <br /> RP Contact: ERNIE SPENCER Contact Phone: (978)568-1922 <br /> NATURE OF RESPONSE(explosion,spill, leak,fire,or abandoned/dumped material <br /> CAL OES SPILL REPORT 21-1636: PER CALLER THEIR CUSTOMER WILBUR ELLIS HAD A TANK ON SITE AND THE <br /> TANK FAILED CAUSING A 6,000 GALLON RELEASE OF UAN 32 UREA AMMONIUM SOLUTION. PATRIOT <br /> ENVIRONMENTAL HAS BEEN CONTRACTED FOR ASSESSMENT AND CLEAN UP. <br /> Time Received: 3:30 pm Time of Arrival: 5:48 pm Time of Departure: 8:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE L2 Q <br /> CLAUDIA MURO SJC EHD (209)561-8923 5:48 pm 8:00 pm <br /> WES SERPA WILBUR ELLIS (916)214-7046 <br /> CHRIS FEATHERS PATRIOT ENVIRONMENTAL (530)228-2042 <br /> TREVOR CARLSON PROPERTY LESSOR (209)639-7911 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(caval GAS(cu ftl COMMENTS <br /> REA AMMONIUM NITRATRATE 6,000.00 ❑ x ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: March 29,2021 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 />