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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: November 08, 2018 Short Term#: CO3VRODHZ <br /> Premise Address: 1000 Roth RD City: FRENCH CAMP <br /> Premise DBA: UNION PACIFIC RAILROAD COMPANY Cross Street: <br /> Premise Owner: UNION PACIFIC RAILROAD COMPANY Owner's Phone: (915)540-0496 <br /> Mailing Address: 1400 Douglas St MS 1690 Owner City: OMAHA <br /> Facility Contact: UNION PACIFIC RAILROAD COMPANY Contact Phone: (916)540-0496 <br /> RP DBA: FedEx Freight Chemical Management <br /> Onsite RP Name: NA Onsite RP Phone: <br /> Mailing Address: 6900 Alcoa Rd RP City: Benton <br /> RP Contact: Joe Hayes Contact Phone: (501)860-7904 <br /> NATURE OF RESPONSE(explosion,spill, leak,fire, or abandoned/dumped material <br /> A tote containing chain lubricant was improperly loaded. During a load shift, approximately 20 gallons of liquid was spilled <br /> onto other containers. The release has been stopped and contained. Cleanup is in progress through a contractor. <br /> Time Received: 8:00 am Time of Arrival: 12:55 pm Time of Departure: 1:45 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Haza Saeed SJC (209)915-6575 12:55 am 4:05 am <br /> Juan Rubio American Integrated SVCS (707)400-9218 <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LnUP_(ggL GAS(cu ft) COMMENTS <br /> Chain Lubricant 50.00 ❑ 0 ❑ <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 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />