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MATERIAL AMOUNT SOLID (Os) LIQUID (gajp. GAS (Cu ft) COMMENTS <br />Time of Arrival: 3:00 pm Time of Departure: 4:00 pm Time Received: 1:56 pm <br />TOD TOA PHONE AGENCY <br />EHD 3:00 pm 4:00 pm (209) 616-3028 VICKY VANG-LEE <br />ANCON MANUAL CIAS (916) 546-0216 <br />ALEJANDRO SAMANO ANCON (510) 292-8099 <br />60 GALLONS OF DIESEL SPILLED AND IMPACTED ASPHALT <br />NAME <br />PERSONS AT SCENE <br />MATERIAL / CLASSIFICATION (chemical involved) <br />DIESEL 60.00 <br />0 <br />SAN JOAQUIN <br />Environmental Health Department <br /> <br />COUNTY <br /> <br />EMERGENCY RESPONSE RECORD <br />Date: May 04, 2022 Short Term #. COZLOAEVA <br />Premise Address: 0 W HIGHWAY 205 City: TRACY <br />Premise DBA: Cross Street: EL RANCHO <br />Premise Owner: CALTRANS Owner's Phone: (209) 483-4466 <br />Mailing Address: PO BOX 2048 Owner City: STOCKTON <br />Facility Contact: LOREN SHELTON Contact Phone: (209) 483-4466 <br />RP DBA PENSKE <br /> <br />Onsite RP Name: ED <br /> <br />Onsite RP Phone: (561) 584-2031 <br />RP City: READING <br /> <br />Mailing Address: ROUTE 10, GREEN HILLS, PO BOX <br /> <br />RP Contact: BRIAN YAZEMBOSKI <br /> Contact Phone: (610) 603-8450 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: May 05, 2022 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES ENO <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