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o N\ <br /> �•• . SAN 70AQUIN COUNTY <br /> N <br /> ' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> big a1868 E. Hazelton Ave., Stockton • CA 95205 <br /> ,.,�i1;. pi (209) 468-3420 • Fax:(209)468-3433 • Web:www.sigov.org/ehd <br /> 9llFOa�` <br /> EMERGENCY RESPONSE RECORD <br /> DATE: <br /> 10-19-2016 SHORTTERMq: COIRCHUEQ <br /> PREMISEADDRESS:`Sall Joaquin River Club/ parcel 1A26 CITY:Tracy <br /> DEE Joaquin River Club CROSS STREET:Redwood and Acorn <br /> PREMISE OWNER: <br /> PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACr:Dan Diviney PHONE209- <br /> RESPONSIBLE PARTY(RP)DBA:San Joaquin River Club <br /> PHONE: <br /> RP NAME: <br /> RP ADDRESS: y <br /> 30000 S Kasson Rd, Tracy, CA 95304 CITY:Tracy <br /> PHONE: <br /> RP CONTACT: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> An abandoned trailer with leaking oily liquid tank <br /> TIME RECEIVED:7:06 pm TIME OF ARRIVAL:$ pm TIME OF DEPARTURE:9'30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE Q <br /> Elena Manzo SJC EHD 209-953- TOD <br /> 7699 7:06 pm 9:30 pm <br /> Dan Diviney facility representative onsite onsite <br /> Dave Brammel City of Tracy Fire 209-814-7922 onsite onsite <br /> MATERIAL/CLASSIFICATION laerniw wvavtol <br /> IDENTIFICATION PILLED ;'B LIGAL U COMMENTS <br /> LBS) GAL CU Fi <br /> Oily liquid xY DN NA <br /> Excavated soil D Y »N clean up debris <br /> DY UN <br /> oY UN <br /> DY DN <br /> DY UN <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRE551 DATE MAILED <br /> DATE PROP 65 COMPLETED: 10-20-2016 DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? 0 YES ❑ ND <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE MAP ❑ ANALYTICAL DATA M PROP 65/UAR ❑ FILE CREATED <br /> BI MANIFEST 0 REFERRALS 0 CLEANUP REPORT 0 OTHER AGENCY REPORTS 0 EXPOSURE RECORD kl PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />