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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> bit <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 /> DATE: 2/5/2015 SHORTTERMit: C00039192 <br /> PREMISE ADDRESS:Jack Tone Rd. CITY: Stockton <br /> DBA;NA CROSS STREET:Hwy 4 <br /> PREMISE OWNER:NA PHONE: NA <br /> OWNER'S ADDRESS:NA CITY:NA <br /> FACILITY CONTACT:NA PHONE:NA <br /> RESPONSIBLE PARTY(RP)DBA:NA <br /> RP NAME:NA PHONE:NA <br /> RP ADDRESS:NA CITY:NA <br /> RP CONTACT:NA PHONE:NA <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> 3 CASES OF MOSTLY EMPTY BUTANE CANISTERS ABANDONED ON ROADSIDE <br /> TIME RECEIVED: 1 000 TIME OF ARRIVAL: 1 030 TIME OF DEPARTURE: 1 230 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Jamie DeLaRosa SJC EHD (209) 953-6211 1030 1230 <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> butane ❑Y X N 130 canisters <br /> ❑Y u <br /> o ❑N <br /> u ❑N <br /> o c <br /> o E)IN <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO INAME AND ADDRESS) DATE MAILED <br /> NA NA <br /> DATE PROP 65 COMPLETED: DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED "PERSONAL TOXICSUBSTANCEEXPOSURE RECORD"COMPLETED? ❑ YES E- NO <br /> ER BINDER COPIES: <br /> � SHORT-TERM ON TOP X NARRATIVE xQ MAP ❑ ANALYTICAL DATA ❑ PROP 65/UAR ❑ FILE CREATED <br /> X MANIFEST ❑ REFERRALS I X CLEAN UP REPORT 1 ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD )Q PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />