Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> 4' z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420 • Fax:(209)468-3433 • Web:www.siuov.oro/ehd <br /> cgiiFOF�'`� <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Monday, August 20, 2012 SHORTTERM#: C00035353 <br /> PREMISEADDRESS: 3233 E Loomis Road CITY: Stockton <br /> DBA: USF Reddaway <br /> PREMISE OWNER: I Yellow Roadway Corp Worldwide PHONE: 913-344-3521 <br /> OWNER'SADDRESS: 10990 Roe Ave CITY: Overland Park, KS <br /> FACILITYCONTACT: I Mike Kolb PHONE: 916-690-6383 <br /> RESPONSIBLE PARTY(RP)DBA: SdIT1e as above <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF COMPLAINT ex losion,spill, leak,fire or abandoned/dumped material <br /> Spill of Ansulex Low pH liquid, three gallons. <br /> TIME RECEIVED: 8:30 aril TIME OF ARRIVAL: 9:00 am TIME OF DEPARTURE: 1 O:OO aril <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Garrett Backus SJC EHD (209)468-2986 9 am loam <br /> Mike Kolb Reddaway (916)690-6383 9 am 10 am <br /> Doug Vickerman Reddaway (209) 941-8030 9 am 10 am <br /> IDENTIFICATION OF MATERIAL(CHE ICP IN LO D) I Ansulex low pH <br /> PHYSICAL STATE: 1 ❑SOLID ❑POWDER ❑GAS ❑x LIQUID []GRANULE <br /> REFERRALS TO: none DATE MAILED: <br /> DATE COMPLETED: PROP 65: Aug 22,2012 UAR: <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> unknown <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑x NO <br /> E.R.BINDER COPIES: <br /> xSHORT-TERM ON TOP x NARRATIVE ANALYTICAL DATA x PROP 651 LIAREXPOSURE RECORD I I MANIFEST I I I CLEAN UP REPORT Lj OTHER AGENCY REPORTS <br /> REFERRALS Fx1 MAP I EIFILF(;HEAILU <br /> Rev.04/19/12 Page 1 of 3 ER Record <br />