Laserfiche WebLink
SAN,JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: January 30, 2022 Short Term #: CO6BLV78R <br />Premise Address: 1501 JACK TONE RD City: RIPON <br />Premise DBA: Cross Street: SANTOS <br />Premise Owner: PILOT TRAVEL CENTERS LLC Owner's Phone: <br />Mailing Address: PO BOX 54470 Owner City: LEXINGTON <br />Facility Contact: PILOT TRAVEL CENTERS LLC Contact Phone: <br />RP DBA: FLYING J TRAVEL PLAZA #618* <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: 5508 LONAS RD RP City: KNOXVILLE <br />RP Contact: JOEY CUPP Contact Phone: (865) 474-2826 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />A customer overfilled the fuel tank of their vehicle resulting in a diesel fuel spill of approximately 15 gallons. <br />Time Received: 4:18 pm Time of Arrival: Time of Departure: <br />PERSONS AT SCENE <br /> <br />NAME AGENCY PHONE TOA TOD <br /> <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL <br />. <br />AMOUNT <br />, <br />SOLID (lbs) LIQUID (gaI) GAS (cu ft) COMMENTS <br />Diesel 15.00 D El 0 <br />0 III El <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: January 31, 2022 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? EYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD