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SA N.J O A Q U I N Environmental Health Department <br /> --COUNT Y- <br /> EMERGENCY RESPONSE RECORD <br /> Date: November 10, 2019 Short Term#: COVEWFWP8 <br /> Premise Address: 1000 ROTH RD City: FRENCH CAMP <br /> Premise DBA: 1Q Cross Street: SOUTH AIRPORT WAY <br /> Premise Owner: v p 9.P-1 Owner's Phone: <br /> Mailing Address: '(o4t7 0"y%oL-k Owner City: V l� C164- <br /> Facility Contact: {7QA& Vat Contact Phone: ctlb — ,no- q 4 <br /> RP DBA: UNION PACIFIC RAIL ROAD <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 1600 VERNON ST RP City: ROSEVILLE <br /> RP Contact: Contact Phone: (916) 580-9999 <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> 50 GALLON DIESEL RELEASE ON TRACK BALLAST IN RAIL YARD. <br /> Time Received: 3:00 pm Time of Arrival: 9:30 pm Time of Departure: 10:00 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Juan Patriot Environmental (707)672-5507 N,Q <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(aaD GAS(cu ft) COMMENTS <br /> DIESEL 50.00 ❑ z ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? DYES ❑NO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />