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SANvJOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: March 12, 2023 Short Term #: COOGMMPI9 <br />Premise Address: 345 E ROTH RD City: FRENCH CAMP <br />Premise DBA: Cross Street: S MCKINLEY AVE <br />Premise Owner: BENETO FAMILY TRUST Owner's Phone: (916) 677-0817 <br />Mailing Address: 4080 SEAPORT BLVD Owner City: WEST SACRAMENTO <br />Facility Contact: BENETO FAMILY TRUST Contact Phone: (916) 677-0817 <br />RP DBA: FLYING J TRAVEL CENTER LATHROP - 1017 <br />Onsite RP Name: JOEY CUPP Onsite RP Phone: (865) 474-2826 <br />Mailing Address: 5508 LONAS ROAD RP City: KNOXVILLE <br />RP Contact: JOEY CUPP Contact Phone: (865) 474-2826 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />A RELEASE OCCURRED FROM A FUELING ERROR CAUSING 5 GALLONS TO BE RELEASED ONTO CEMENT AND <br />INTO A STORM DRAIN ON SITE. <br />Time Received: 11:18 pm Time of Arrival: 12:18 am Time of Departure: 12:36 am <br />PERSONS AT SCENE <br />NAME AGENCY PI-QILLE TOA TOD <br />JOHN ALANIZ SJC EHD (209) 616-3053 12:18 am 12:36 am <br />BRANDON JOHNSON PATRIOT (707) 416-8109 <br />NENA GOMEZ FLYING J TRAVEL CENTER <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs). LIQUID (gal). GAS (Cu ft) COMMENTS <br />GASOLINE 5.00 0 El 0 <br />0 0 D <br />D 0 D <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: March 13, 2023 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD COMPLETED? DYES LINO <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 wvvw.sjgov.org/EHD