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TOA PHONE TOD NAME AGENCY <br />City of Tracy <br />SJC EHD (209) 616-3026 <br />(209) 814-5243 <br />Frederick Ernest <br />Wayne Bogart <br />unKr(Jvir, al(COW <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (cial) GAS (Cu ft) COMMENTS <br />GASOLINE/COOLANT MIX 3.00 LII <br />MATERIAL / CLASSIFICATION (chemical involved) <br />SAN JOAQUIN <br />couN Y - <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br />Date: December 09, 2022 Short Term #: C00055421 <br />Premise Address: 0 HANSEN RD City: TRACY <br />Premise DBA: Cross Street: HOPKINS RD <br />Premise Owner: WAYNE BOGUART Owner's Phone: <br />Mailing Address: 520 TRACY BLVD Owner City: TRACY <br />Facility Contact: CITY OF TRACY Contact Phone: <br />RP DBA: CITY OF TRACY <br />Onsite RP Name: WAYNE BOGUART <br /> <br />Onsite RP Phone: (209) 814-5243 <br />Mailing Address <br />RP Contact <br />520 TRACY BLVD <br /> <br />RP City: TRACY <br />WAYNE BOGUART <br /> <br />Contact Phone: (209) 814-5243 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />DUE TO A VEHICLE ACCIDENT, 1-2 GALLONS OF COOLANT/MOTOR OIL SPILLED INTO STORM DRAIN ON THE <br />N/VV CORNER OF HOPKINS RD & HANSEN RD IN TRACY. <br />Time Received: 3:30 pm Time of Arrival <br />Time of Departure: UrViCriNn <br />PERSONS AT SCENE <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: December 20, 2022 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 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD