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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton - CA 95205 <br /> ' (209) 468-3420 • Fax;(209) 468-3433 Web:www.sjgov.org/ehd <br /> EMERGENCY RESPONSE RECORD <br /> ---____------___._-._--- <br /> DATE; 10/1512015 — SHORT'TERM#: 000040530 <br /> PREMISE ADDRESS: 100 W Valplco Road STE A -_ CITY:Tracy <br /> DBA,Crop Preparation Service -- <br /> -�_ CROSS STREET: <br /> PREMISE OWNER Taylor Farm Pacific Inc. _ PHONE: (209) 835-6300 <br /> OWNER'S ADDRESS100 W Valplco Road CITY,Tracy <br /> FACILITY CONTACT:Alan Applonie PHONE:(209) 830-3107 <br /> RESPONSIBLE PARTY(RP)DBA:Crop Preparation Service --- —r <br /> RP NAME;Taylor Farm Pacific Inc. PHONE:Tracy <br /> RP ADDRESS: 100 W Valpico Road STE A CITY:Tracy <br /> RP CONTACT Alan Applonie PHONE:(209) 830-3107 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Rlease of cleaning chemicals inside the building. <br /> ._..—.------------ <br /> TIME RECEIVED:0838 TIME OF ARRIVAL: 1 105 TIME OF DEPARTURE: 1 1 45 <br /> PERSONS Al SCENE <br /> AGENCY PHONE Ing <br /> _Haza Saeed _ SJC EHD (209) 953-6212 1105 1145 <br /> ntluniappa Naidu _ SJC EHD (209) 468-3439 1105 1145 <br /> MATERIAL/CLASSIFICATION jCH[MICAkNV0tVFD]I <br /> 'u IDENTIFICATION PILLED) 5= LI I) QA5, COMMENTS <br /> _ (LBS) (GAL) (,,arts <br /> Unknown X y L;N Alan told us the chemical is unknown. <br /> u Y L N Business thinks it may be Chlorine <br /> j y ;N Dioxide, but they are still <br /> — JY L N investigating the incident. Quantity <br /> Y N of release unknown at this point <br /> N of time. —M <br /> REFERRALS AND NOTIFICATIONS <br /> REFERJ E TO(NAME AND ADD8E551 -- DATE M I�— <br /> DATE PROP 65 COMPLETED: NA DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXfCSUBSTANCE EXPOSURERECORD"COMPLETED? n YES n NO <br /> ER BINDER COPIES:_ <br /> X S!iORT-TERM ON TOP I X NARRATIVE X MAP ANALYTICAL DATA PROP 65/UAR �j FILE CREATED <br /> MANIFEST_ — _REFERRALS _3 CLEAN UP REPORT X OTHER AGENCY REPORTS EXPOSURE RECORD J PHOTOS <br /> ER RECORD Page 1 _ 10/03/12 <br />