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SAN JOAQUIN <br />CUUN 1 Y <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br />Date: March 12, 2022 Short Term #: COGWBZTOK <br />Premise Address: 16460 ESCALON BELLOTA RD City: ESCALON <br />Premise DBA: Cross Street: <br />Premise Owner: Owner's Phone: <br />Mailing Address: Owner City: <br />Facility Contact: Contact Phone: <br />RP DBA: PACIFIC GAS AND ELECTRIC COMPANY <br />Onsite RP Name: PACIFIC GAS AND ELECTRIC COMPANY Onsite RP Phone: <br />Mailing Address: 1108 MURPHYS GRADE ROAD RP City: ANGLES CAMP <br />RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />RP STATED THAT THERE WAS A CAR ACCIDENT AND ONE OF THE VEHICLES HIT A TRANSFORMER RESULTING <br />IN A GALLON OF NON PCB MINERAL OIL BEING SPILLED ONTO THE GROUND, IT DID NOT ENTER ANY STORM <br />DRAINS. PG&E IS NOT REQUESTING ANY EMERGENCY SERVICES AT THIS TIME. <br />Time Received: 10:27 am Time of Arrival: 12:00 pm Time of Departure: amitAir <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />FREDERICK ERNEST SJC EHD (209) 616-3026 12:00 am Uftryik/A <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (cu ft) COMMENTS <br />MINERAL OIL 1.00 El 0 I=1 <br />0 CI 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: March 15, 2022 Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD' COMPLETED? DYES 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