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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: June 13,2018 Short Term#: COOESU50E <br /> Premise Address: 15453 N Thornton RD City: LODI <br /> Premise DBA: Profleet Truck Lube Cross Street: HWY 12 <br /> Premise Owner: Profleet Truck Lube and Tire Service Owner's Phone: (209)333-8383 <br /> Mailing Address: 15453 N. Thornton Rd. Owner City: LODI <br /> Facility Contact: Paige Gillin Contact Phone: (916)834-9534 <br /> RP DBA: Profleet Truck Lube and Tire Service <br /> Onsite RP Name: Paige Gillin Onsite RP Phone: (916)834-9534 <br /> Mailing Address: 15453 N Thornton Rd. RP City: Lodi <br /> RP Contact: Paige Gillin Contact Phone: <br /> NATURE OF RESPONSE(explosion, spill, leak, fire, or abandoned/dumped material <br /> Approximately 5,000 gallon motor oil spill due to product piping breach. Most contained within secondary containment <br /> concrete berm. Seepage occurred outside of concrete berm. <br /> Time Received: 12:42 am Time of Arrival: 1:33 am Time of Departure: 2:42 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Paige Gillin Profleet (916)834-9534 <br /> Ted Fremouw Fremouw Environmental (707)974-6677 <br /> Aaron Hang SJCEHD (209)468-3453 1:33 am 2:42 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gall GAS(cu ft) COMMENTS <br /> Motor Oil lubricant 5,000.00 ❑ x❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: June 13, 2018 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 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />