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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY- <br />EMERGENCY RESPONSE RECORD <br />Date: September 16, 2021 Short Term #: COGUHLZAC <br />Premise Address: <br />Premise DBA: <br />0 ESCALON-BELLOTA RD City: <br />Cross Street: <br />LINDEN <br />FLOOD RD <br />Premise Owner: PUBLIC WORKS Owner's Phone: (209) 468-3049 <br />Mailing Address: 1810 E HAZELTON AVE Owner City: STOCKTON <br />Facility Contact: PUBLIC WORKS Contact Phone: <br />RP DBA: UNKNOWN <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: RP City: <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />LESS THAN 20 POUNDS OF WHITE CRYSTAL DRY POWDER WAS LEFT ON THE SIDE OF THE ROAD <br />Time Received: 7:38 am Time of Arrival: 8:40 am Time of Departure: 8:43 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />VICKY VANG-LEE EHD (209) 616-3028 8:40 am 8:43 am <br />I ATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gall GAS (Cu ft), COMMENTS <br />NKNOVVN WHITE POWDE 20.00 0 0 0 <br />0 0 0 <br />0 0 0 <br />FICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: September 16, 2021 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORO' COMPLETED? EYES ENO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD