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<br />Environmental Health Department <br />SAN,JOAQUIN <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date August 12, 2021 Short Term #: COREVZE7Z <br />Premise Address: 26900 HANSEN RD City: TRACY <br />Premise DBA: Cross Street: 1-580 <br />Premise Owner: NGO, THAM P ETAL Owner's Phone: <br />Mailing Address: 2319 OGDEN SANNAZOR DR Owner City: TRACY <br />Facility Contact: NGO, THAM P ETAL Contact Phone: <br />RP DBA: NGO, THAM P ETAL <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: 2319 OGDEN SANNAZOR DR RP City: TRACY <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />COMPLAINANT OBSERVED CHEMICAL TOTES BEING DROPPED OF AT THIS VACANT LOT <br />Time Received: 2:24 pm Time of Arrival: Time of Departure: <br />PERSONS AT SCENE <br />NAME <br /> AGENCY <br /> PHONE <br /> TOA TOD <br />ERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT <br />, <br />SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />3D Trasar 3DT231 900.00 1=1 I=1 0 <br />Emulsion Adhesive 165.00 0 0 0 <br />Polyurethane Foam 110.00 D Ll D <br />LS 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? DYES END <br />Page 1 of 2 <br />1868 E. Hazelton Avenuel Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD