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SAN JOAQUIN COUNTY <br />a: : X <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1M!'► 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•'•. <br />(209) 468-3420 • Fax: (209) 468-3433 • Web: www.sigov,org/ehd <br />(.FOA <br />EMERGENCY RESPONSE RECORD <br />DATE: <br />"ji' <br />�j ('TJ <br />Muniappa Naidu <br />SHORT TERMrk <br />mow S95 f <br />PREMISE ADDRESS: 307 GBYp y�pp•�p <br />CITY:G1L�1!-..� <br />(209) 545-1011 <br />DBA: <br />�lu�t <br />(209) 937-8719 <br />Gerald Mercado <br />PREMISE OWNER: <br />— <br />PHONE: <br />OWNER'S ADDRESS: <br />CIN: <br />FACILITY CONTACT: <br />RAM&& <br />PHONE: <br />['r'; I �' �g <br />RESPONSIBLE PARTY (RP) DBA: <br />at", v"b S <br />RP NAME: <br />PHONE: <br />ADDRESS: <br />CITY: <br />RERP <br />P <br />PHONE: <br />NATURE OF COMPLAINT (explosion, spill, leak, fire, or abandoned/dumped material <br />Va-� <br />TIME RECEIVED: (. f C� TIME OF ARRIVAL: TIME OF DEPARTURE: <br />f, 3b <br />NAME <br />AGENCY <br />PHONE TOA TOD <br />Muniappa Naidu <br />SJC EHD <br />(209) 468-3439 <br />Daamon Black <br />Safety-Kleen <br />(209) 545-1011 <br />Bryan Toledo <br />City of Stockton Storm Water <br />(209) 937-8719 <br />Gerald Mercado <br />Sprint <br />(209) 937-5800 <br />IDENTIFICATION OF MATERIAL rceeasx w Lveoq Tranformer oil <br />PHYSICALSTATE: ❑SOLID ❑POWDER ❑GAS OLIQUID ❑GRANULE <br />REFERRALS TO: <br />PHONE <br />DATE MAILED: <br />DATE COMPLETED: <br />PROP 65: <br />Feb 8, 2013 <br />UAR: <br />❑VES <br />PERSONS EXPOSED and/or INJURED <br />NAME ADDRESS <br />PHONE <br />"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? <br />❑VES <br />❑NO <br />Rev. 64/19/12 Page 1 of 3 ER Record <br />