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op4Dl" SAN 3OAQUIN COUNTY <br /> a 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 /> 9llFORH) <br /> EMERGENCY RESPONSE RECORD <br /> DATE:7/31/2017 C00043917 <br /> SHORT TERM#; <br /> PREMISE ADDRESS:3028 Navy Dr. Stockton <br /> CITY: <br /> DBA:Pacific Ethanol, Inc. CROSS STREET:Washington St. <br /> PREMISE OWNER:Pacific Ethanol, Inc. PHONE: (209) 235'0370 <br /> OWNER'S ADDRESS:3028 Navy Dr. Stockton <br /> EE CITY: <br /> FACILITY CONTACT:Jordan Cain (209) 851-4077 <br /> PHONE: <br /> RESPONSIBLE PARTY IRP DBA:Central California Traction Company <br /> RPNAME:Central California Traction Company PHONE:(209) 466-6927 <br /> RPADDRESS:2201 W. Washington St. Stockton, Suite 12, CA 95203 CITY:Stockton <br /> RP CONTACT:Richard Grlgsbay PHONE:(209)466-6927 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> LRelease of ethanol from a ruptured hose of a rail car tank. <br /> IVED:2.15 PM TIME OF ARRIVAL:3.00 PM 4:00 PM <br /> TIME OF DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA Q <br /> Elianna Florido SJC EHD (209) 468-0343 3:00 PM 4:00 PM <br /> Jordan Cain Pacific Ethanol, Inc. (209) 851-4077 unknown unknown <br /> MATERIAL/CLASSIFICATION JaEMIC IWMVEDI <br /> IDENTIFICATION SPILLED? LIQUID Sr84 <br /> Last GAL) CU FfI COMMENTS <br /> Ethanol »Y ON 4,000 pproximately 4,000 gallons released <br /> o ON <br /> u ON <br /> OY ON <br /> o ON <br /> OY ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO ILIAME AND ADDRESS) PATE MAILED <br /> N/A <br /> DATE PROP 65 COMPLETED: $/1/2017 DATE UAR COMPLETED: N/A <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSURSTANCE EXPOSURE RECORD"COMPLETED? ❑ yE5 ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP X ANALYTICAL DATA X PROP 65/UAR 0 FILE CREATED <br /> 91 MANIFEST 0 REFERRALS D CLEAN UP REPORT O OTHER AGENCY REPORTS 0 EXPOSURE RECORD X PHOTOS <br /> ER RECORD <br /> Page 1 10/03/12 <br />