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MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />REFERRALS AND NOTIFICATIONS <br />Date UAR Completed: Date Prop 65 Completed January 11, 2023 <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES NNO <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />MATERIAL / CLASSIFICATION (chemical involved) <br />MINERAL OIL 800 1:1 <br />0 <br />SAN JOAQUIN <br />DUNI <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br /> <br />Date: January 10, 2023 <br /> <br />Short Term #: C00055503 <br /> <br />Premise Address: 23431 N TULLY RD <br /> <br />City: ACAMPO <br /> <br />Premise DBA: <br /> <br />Cross Street: PELTIER <br /> <br />Premise Owner: ANN TSCHARNER <br /> <br />Owner's Phone: (209) 327-0703 <br /> <br />Mailing Address: 23429 N TULLY RD <br /> <br />Owner City: ACAMPO <br /> <br />Facility Contact: ANN TSCHARNER <br /> <br />Contact Phone: (209) 327-0703 <br /> <br />RP DBA PG&E <br /> <br />Onsite RP Name: ALEX STEELE Onsite RP Phone: (209) 337-8902 <br /> <br />Mailing Address: PO BOX 7640 RP City: SAN FRANCISCO <br /> <br />RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br /> <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />SPILL EIGHT GALLONS OF NON PCB MINERAL OIL <br />Time Received: 4:54 pm Time of Arrival: 9:30 am Time of Departure: 9:42 am <br />PERSONS AT SCENE <br />AGENCY PHONE TOA TOD <br />KRISTINA SAETERN SJC EHD (209) 616-3045 9:30 am 9:42 am <br />SHEINIT WOLDEAREGAY SJC EHD (209) 616-3063 9:30 am 9:42 am <br />NAME <br />Page 1 of 2 <br />1868 E. Hazelton Avenue' Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD