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/ter SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton W CA 95205 <br />(209) 468-3420 . Farr. (209,) 466-3433 • Web. www.sjgov.orc lehd <br />EMERGENCY RESPONSE RECORD <br />i)ATE: Wednesday, April 1, 2015 <br />SHORT- ERM#: C00039617 <br />jj PREMISE ADDRESS22844 S. Frederick Rd. <br />CITY: S pon <br />i 3A _ <br />Dale R. & E.J, Kuil <br />CROSS STREET: <br />PREMISE OWNER.. <br />PHONE, (209) 599-4960 <br />OWNER'S ADDRESS: 22844 B. Frederick Rd. <br />6,000 <br />CITY: R i pon <br />FACILITY CONTACT: Dale Kull _ <br />_......._____..._....v, W...... <br />PHONE: (209) 599-4960 ...................._.. J <br />i RESPONSIBLE PARTY (RP) DBA: <br />RP NAME. Dale Kuil <br />PHONE: ,:209) 599-4960 <br />RPAu,,)Rcss:22 ./Frederick Rd. <br />CITY:Ripon <br />(209) 599-4960 -- <br />j_. <br />Diesel <br />RP CONTACT:PHONE: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) _ <br />The sides of a diesel tank blew out during fuel delivery, releasing approximately 3,000 gallons of diesel <br />onto the ground. <br />TIME RECEIVED8:42 AM TIME OF ARRIVAL: 9:53 AM TIME OF DEPAI JURE: <br />NMI ACENi�"'i <br />PH{ A3E � Top <br />Stacy Rivera BJC l HD <br />(209) 468-3440 9:53 AM <br />Dale Kuil i Owner <br />(209) 599-4960 -- <br />j_. <br />Diesel <br />X Y r:� N <br />6,000 <br />i <br />_......._____..._....v, W...... <br />a :N <br />AAATC*1M 3f 3 ACCIVIrA' Inhi ..,.,..,.. <br />esrrc»r�e� r naax�. xan-rar3rr'rtt`raaC <br />REFERRED TO [NAME AND ADDRESSI <br />DATE 3q� iV%# <br />ta.sxi <br />i I) <br />(rna) <br />:°j <br />ituFr) <br />V CORAt.AENT5 <br />j_. <br />Diesel <br />X Y r:� N <br />6,000 <br />i <br />a :N <br />u N <br />esrrc»r�e� r naax�. xan-rar3rr'rtt`raaC <br />REFERRED TO [NAME AND ADDRESSI <br />DATE 3q� iV%# <br />Central galley Water Quality Control Board ) Zx"11 ( alyx AkA S-t-�r) <br />� I <br />j BATE PROP 65 COMPLETED: 5/1115 1 DATE UAR COMPiETED: -. <br />I IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOMCSUBSTANCE EXPOSURE RECORD" COMPLETED' YES NO <br />SHORT-TERNA, ON TOP X MAP c ANALYTICAL DATA X PROP 65 1 UAR ::, FILECREATED <br />u MANIFEST RE ERRA GLEAN UP REPORT ;: OTHER AGENCY REPORTS EXPOSU lE RECORD PHOTOS jjss <br />irk Prrnwn Prue 1 10/03/12 <br />:3y <br />