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L • • <br /> "F SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> nCOPY <br /> 1868 E. Hazelton Ave. Stockton • CA 95205 <br /> �•` ?+ � '/ (209) 468-3420 • Fax:(209) 468-3433 • Web:www. <br /> i� <br /> \C •. tP <br /> EMERGENCY RESPONSE RECORD n <br /> DATE: Saturday, October 24, 2015 SHORT TEF CC>(!:�-P 1 a si3 <br /> PREMISE ADDRESS:2400 E Louise Ave/ 16888 McKinley Ave CITY: Lathrop <br /> DBA:Super Store Industries CROSS STREET: <br /> PREMISE OWNER:Super Store Industries PHONE: <br /> OWNER'SADDRESS:2800 W March Lane, Suite 210 CITY:Stockton <br /> FACILITYCONTACT:TOm Hughes, Operations Manager PHONE:209-858-3365 <br /> RESPONSIBLE PARTY(RP)DBA:Super Store Industries <br /> RP NAME:Tom Hughes, Operations Manager PHONE:209-858-3365 <br /> RP ADDRESS:16888 McKinley Ave CITY:Lathrop <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Leak of diesel from refrigerator trailer tank. <br /> TIME RECEIVED:10-23, 1:48 am ITIME OF ARRIVAL: 10-24, 9 am TIME OF DEPARTURE: 10-24, 9:30 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Garrett Backus SJC EHD ( <br /> <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LI UID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> Diesel X ❑N 5-7 Spill onto asphalt only. <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> p D ❑N <br /> i <br /> c o o <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 10-26-15 1 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP ❑ NARRATIVE X MAP ❑ ANALYTICAL DATA X PROP 65/LIAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT ❑ OTHER AGENCY REPORTS 1 ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />