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SA N J O A Q U I N Environmental Health Department <br /> EMERGENCY RESPONSE RECORD <br /> Date: April 03, 2018 Short Term#: COBG42OTM <br /> Premise Address: 1000 ROTH RD City: FRENCH CAMP <br /> Premise DBA: Cross Street: Airport <br /> Premise Owner: UNION PACIFIC RAILROAD COMPANY Owner's Phone: <br /> Mailing Address: 1400 DOUGLAS ST MS 1690 Owner City: OMAHA <br /> Facility Contact: Contact Phone: <br /> RP DBA: R&L CARRIERS <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: 600 GILLIAM RD RP City: WILMINGTON <br /> RP Contact: TINA BREEZLEY Contact Phone: <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> Release of 5 gallons of wine. Spill was contained in packaging <br /> Time Received: 10:30 am Time of Arrival: 2:00 pm Time of Departure: 2:30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Cesar Ruvalcaba SJCEHD (209) 953-6213 2:00 pm 2:30 pm <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(Ibs) LIQUID(oa0 GAS(cu ft) COMMENTS <br /> Wine 5.00 ❑ 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? ❑YES ❑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 />