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MATERIAL AMOUNT SOLID (lbs) LIQUID (gal) GAS (Cu ft) COMMENTS <br />MATERIAL / CLASSIFICATION (chemical involved) <br />DIESEL 300 <br />FREIGHT LINER HIT DISPENSER OFF ITS BASE AND CAUSED APPROXIMATELY 3 GALLONS TO SPILL ONTO THE <br />CONCRETE. SPILL WAS CLEANED UP BY STAFF ON SITE. NO WATERWAYS OR STORM DRAINS WERE <br />IMPACTED. <br />Time Received: 6:58 pm Time of Arrival: 1:55 pm Time of Departure: 3:50 pm <br />PERSONS AT SCENE <br />AGENCY PHONE TOA TOD <br />GABRIELA GARCIA-MEJIA SJC EHD <br />(209) 616-3037 1:55 pm 3:50 pm <br />AMY FLYING J (209) 599-4141 <br />NAME <br />SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />EMERGENCY RESPONSE RECORD <br />Date: December 14, 2022 Short Term #: COXH4Z1W0 <br />Premise Address: 1501 N JACK TONE RD City: RIPON <br />Premise DBA. FLYING J Cross Street: SANTOS AVENUE <br />Premise Owner: FLYING J Owners Phone: (209) 599-4141 <br />Mailing Address: PO BOX 54470 Owner City: LEXINGTON <br />Facility Contact: PILOT TRAVEL CENTERS LLC Contact Phone: <br />RP DBA: FLYING J <br />Onsite RP Name: FLYING J Onsite RP Phone: <br />Mailing Address: 5508 LONAS RD RP City: KNOXVILLE <br />RP Contact: CHIP HUGHES Contact Phone: (865) 206-5269 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material) <br />REFERRALS AND NOTIFICATIONS <br /> <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br /> <br />Date Prop 65 Completed: December 14, 2022 Date UAR Completed: <br /> <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? <br /> <br />ElYES NO <br /> <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