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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br />Date: August 31, 2021 Short Term #: C00054203 <br />Premise Address: 10355 TRINITY PKWY City: STOCKTON <br />Premise DBA: WALMART #3352 Cross Street: <br />Premise Owner: WALMART Owner's Phone: (479) 204-3911 <br />Mailing Address: 702 SW EIGHTH ST Owner City: BENTONVILLE <br />Facility Contact: WALMART REAL ESTATE BUS TRUST Contact Phone: (479) 204-0140 <br />RP DBA: WALMART INC <br />Onsite RP Name: CHANEL ROUSSEL-SOK Onsite RP Phone: (209) 570-3970 <br />Mailing Address: 702 SW EIGHTH ST RP City: BENTONVILLE <br />RP Contact: CHANEL ROUSSEL-SOK Contact Phone: (209) 570-3970 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />COMPLAINANT STATED THAT ON 08/30/2021 THEY ENTERED THE FACILITY WITH THEIR MOTHER AND WERE <br />OVERWHELMED WITH A STRONG ODOR. THEY EXPERIENCED BURNING EYES, SORE THROAT, NAUSEA, AND <br />RUNNY NOSE. COMPLAINANT STATED THEY OBSERVED EMPLOYEES SPRAYING THE SHOPPING CARTS WITH <br />DISINFECTANT. <br />Time Received: 11:15 am Time of Arrival: 12:00 pm Time of Departure: 12:30 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />VICKY VANG-LEE EHD (209) 616-3028 12:00 pm 12:30 pm <br />ELENA MANZO EHD (209) 616-3066 12:00 pm 12:30 pm <br />CHANEL ROUSSEL-SOK WALMART (209) 570-3970 <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (cu ft). COMMENTS <br />DISINFECTANT UNKNOWN III I=1 III <br />CI El lIl <br />III El III <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD