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MATERIAL / CLASSIFICATION (chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gaD GAS (Cu ft) COMMENTS <br /> <br />DIESEL 1:1 <br />1=1 <br />DATE MAILED REFERRED TO (NAME AND ADDRESS) <br />Date UAR Completed: Date Prop 65 Completed: May 26, 2022 <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES ONO <br />SAN JOAQUIN <br />Environmental Health Department <br />COUNTY <br /> <br />EMERGENCY RESPONSE RECORD <br />Date: May 23, 2022 Short Term #: COVSFU5E5 <br />Premise Address: 8115 S EL DORADO ST City: FRENCH CAMP <br />Premise DBA: Cross Street: W MATTHEWS RD <br />Premise Owner: J&L MARKET Owners Phone: (209) 410-3346 <br />Mailing Address: 8115 S EL DORADO ST Owner City: FRENCH CAMP <br />Facility Contact: KARINA CERNA VALDEZ Contact Phone: (209) 410-3346 <br />RP DBA: J&L MARKET <br />Onsite RP Name: J&L MARKET Onsite RP Phone: (209) 401-3346 <br />Mailing Address: 8115 S EL DORADO ST RP City: FRENCH CAMP <br />RP Contact: KARINA CERNA VALDEZ Contact Phone: (209) 401-3346 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />A 10,000 GALLON ABOVEGROUND STORAGE TANK HAS A LEAK AND IS RELEASING FUEL INTO SECONDARY <br />CONTAINMENT. <br />Time Received: 2:30 pm Time of Arrival: 2:30 pm Time of Departure: 4:50 pm <br />PERSONS AT SCENE <br />NAME AGENCY PI-IE LQj1/4 TOD <br />JOHN ALANIZ SJC EHD (209) 616-3053 2:30 pm 4:50 pm <br />KARINA CERNA VALDEZ SJC EHD (209) 401-3346 <br />REFERRALS AND NOTIFICATIONS <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD