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SOLID (lbs) LIQUID (gal) GAS (cu ft) COMMENTS <br />MATERIAL / CLASSIFICATION (chemical involved) <br />DIESEL 5.00 D I=1 <br />0 <br />0 <br />MATERIAL AMOUNT <br />SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: June 10, 2022 Short Term #: COVRIJUGK <br />Premise Address: 15237 N THORNTON RD City: LODI <br />Premise DBA: FLYING J Cross Street: STATE ROUTE 12 <br />Premise Owner: PILOT TRAVEL CENTERS LLC Owner's Phone: <br />Mailing Address: 5508 LONAS ROAD Owner City: KNOXVILLE <br />Facility Contact: PILOT TRAVEL CENTERS LLC Contact Phone: <br />RP DBA: PILOT TRAVEL CENTERS LLC <br />Onsite RP Name: MATT DUCE Onsite RP Phone: (801) 903-3958 <br />Mailing Address: 5508 LONAS ROAD RP City: KNOXVILLE <br />RP Contact: MATT DUCE Contact Phone: (801) 903-3958 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />GAS PUMP FAILED TO SHUT OFF AND CAUSED 5 GALLONS OF DIESEL SPILLED ONTO ISLAND AND INTO <br />OIL-WATER SEPARATOR <br />Time Received: 2:09 pm Time of Arrival: 2:57 pm Time of Departure: 3:30 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />KRISTINA SAETERN SJC EHD (209) 616-3045 2:57 pm 3:30 pm <br />MATT DUCE STORE MANAGER (801) 903-3958 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: June 13, 2022 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 I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD