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Complaint Investigation Summary Report* 5105 <br />COMPLAINT ID: COHONB005 Site Location: 25501 S GATEWAY BLVD <br />Received by: EE0009818 BAKER <br />Received Date: 1/29/2022 Complaint Received Via: PHONE <br />Assigned To: EE0009850 ERNEST <br />Assigned Date: 1/29/2022 <br />Program/Element Code 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />RELEASE OF UNKNOWN AMOUNT OF ANHYDROUS AMMONIA FROM A REFRIGERATION UNIT <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location 25501 S GATEWAY BLVD <br /> District 005 - RICKMAN, ROBERT <br />TRACY, CA 95377 Location Code 99 - UNINCORPORATED AREA <br />Cross Street SCHULTE APN 20911052 <br />Complaint Status. Ocr tA 01 At31\ CI 0 A,- loz, t 535 6\3 <br />Date Abated: Abated By: <br />Activity Summary <br />Activity Date Recorded by <br />01/29/2022 10:48 am -Received spill report 22-0578. An unknown amount of anhydrous BAKER <br />ammonia was released from a refrigeration unit at Costco at 25501 S. Gateway in <br />Tracy. <br />10:50am-Received page from SJGH. Called SJGH and above release was <br />reported. <br />11:00am-Called Nathan Johnson of Verisk 3E at 760-602-8700 regarding release. <br />Release is stopped and technician is on site repairing a faulty valve. No <br />evacuations, exposures or injuries as a result of incident. No schools within half a <br />mile. <br />11:10am-Texted information to Muni Naidu (Assistant Director) and Michelle <br />Henry (Program Coordinator) <br />10:48am-11:12am <br />01/31/2022 Generated complaint and prop 65. Turned in prop 65 to Elena Manzo (Lead Sr. BAKER <br />REHS) for review. <br />Discussed complaint with Haza Saeed (Lead Sr. REHS) and Fred Ernest (REHS) <br />5105. rpt <br /> Page 1 of 3