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SANIIJOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: January 10, 2023 Short Term #: C00055496 <br />Premise Address: 24243 N BUCK RD City: ACAMPO <br />Premise DBA: Cross Street: JAHANT <br />Premise Owner: MCFADDEN WILLIAM JAMES & TAFFELYN Owner's Phone: (209) 609-1459 <br />Mailing Address: 24243 N BUCK RD Owner City: ACAMPO <br />Facility Contact: MCFADDEN WILLIAM JAMES & TAFFELYN Contact Phone: (209) 609-1459 <br />RP DBA: PG&E <br />Onsite RP Name: Onsite RP Phone: (209) 337-8902 <br />Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br />RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />APPROXIMATELY HALF A GALLON OF MINERAL OIL WAS RELEASED. IMPACTED SOIL WAS CLEANED UP. NO <br />WATER WAYS IMPACTED. <br />Time Received: 4:45 pm Time of Arrival: 1:15 pm Time of Departure: 1:48 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />KRISTINA SAETERN SJC EHD (209) 616-3045 1:15 pm 1:48 pm <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />MINERAL OIL 0.25 0 0 ID <br />1=1 0 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: January 17, 2023 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 209468-34201 F 209 464-0138 1 www.sjgov.org/EHD