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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: July 14, 2020 Short Term#: COWZDVCQZ <br /> Premise Address: 2020 PARK ST City: LATHROP <br /> Premise DBA: Cross Street: MCKINLEY <br /> Premise Owner: CITY OF MANTECA Owner's Phone: <br /> Mailing Address: 1001 W. CENTER STREET Owner City: MANTECA <br /> Facility Contact: CITY OF MANTECA Contact Phone: <br /> RP DBA: PGE <br /> Onsite RP Name: DAVE LARSEN Onsite RP Phone: (209)401-9719 <br /> Mailing Address: 1108 MURPHYS GRADE RD RP City: ANGELS CAMP <br /> RP Contact: ALEX STEELE Contact Phone: (209) 337-8902 <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> APPROXIMATELY 30 GALLONS OF TRANSFORMER OIL IMPACTED THE DIRTAND GRAVELAREA NEAR FAILED <br /> EQUIPMENT. <br /> Time Received: 5:48 pm Time of Arrival: Time of Departure: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOTOD <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(IbsI LIQUID-(g-aa GAS(cu frJ COMMENTS <br /> TRANSFORMER OIL 30.00 ❑ 0 ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: July 14, 2020 Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES LINO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />