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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.sigov.org/ehd <br />EMERGENCY RESPONSE RECORD <br />DATE: Thursday, March 14, 2013 <br />RP NAME: Alex Steele <br />SHORTTERMk:-Z�ar�3G%�3 <br />PREMISE ADDRESS: 635 S. Aurora St. <br />CITY: Angels Camp <br />CITY: Stockton <br />DBA. PG&E <br />CROSSSTREET: Hazelton Ave. <br />PREMISE OWNER: <br />PHONE: <br />OWNER'S ADDRESS: <br />CITY: <br />FACILITY CONTACT: <br />I PHONE: <br />RESPONSIBLE PARTY (RP) DBA: PG&E <br />RP NAME: Alex Steele <br />PHONE: 2093378902 <br />RP ADDRESS:1108 Murphys Grade Rd. <br />CITY: Angels Camp <br />RP CONTACT: Alex Steele <br />PHONE: 2093378902 <br />NA I UK UV KLSFUN SL (eXpIOSIOn, Spill, leak, tire, or abandoned/dumped material) <br />TIME RECEIVED: 3.53PM TIME OF ARRIVAL: <br />` TIME OF DEPARTURE: <br />tKJUN�)A] ]CINE <br />NAME AGENCY PHONE T0,4 TOD <br />Muniappa Naidu SJC EHD <br />MATERIAL/CLASSIFICATION ICKWICALINVOLVED) <br />IDENTIFICATION SPILLED? Q111 <br />(LBS) <br />LIQUID <br />(GAI.) <br />GA� COMMENTS <br />(CU FT) <br />Y o N <br />2.I v , <br />oY o <br />oY o <br />oY o <br />o oN <br />oY oN <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRES51 DATE MAILED <br />DATE PROP 65 COMPLETED: .31 ( DATE UAR COMPLETED: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXICSOBSTANCE EXPOSURE RECORD" COMPLETED? u YES o NO <br />ER BINDER COPIES: <br />X SHORT-TERM ON TOP 1¢ NARRATING X MAP O ANALYTICAL DATA D4 PROP 65 /UAR v FILE CREATED <br />Li MANIFEST U REFERRALS u CLEAN UP REPORT n OTHER AGENCY REPORTS n FXPOSURF RECORD ❑ PHOTOS <br />ER RECORD Page 1 10/03/12 <br />