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SAN JOAQUIN COUNTY <br /> h 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 /> DATE: Thursday, January 30, 2014 C00037499 <br /> SHORT TERMq: <br /> PREMISEADDRESS: LOWER SACRAMENTO RD CITY: COLLIERVILLE <br /> DBA:NA cRoss STREET:LIBERTY RD <br /> PREMISEOWNER:SAN JOAQUIN COUNTY 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 /> 1-5 GALLON BUCKET OF USED OIL ABANDONED AND PLACED NEAR ROADSIDE BY COUNTY <br /> ROAD MAINTENANCE <br /> TIME RECEIVED: 1 245 TIME OF ARRIVAL: 130 TIME OF DEPARTURE: 500 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Jamie DeLaRosa SJC EHD (209) 953-6211 130 500 <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> USED OIL o X 3 <br /> o CIN <br /> ❑Y o <br /> ❑Y u <br /> ❑Y o <br /> ❑Y ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> NA NA <br /> NA NA <br /> DATE PROP 65 COMPLETED: NA DATE UAR COMPLETED: NA <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCEEXPOSURERECORD"COMPLETED? n YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOPX NARRATIVE X MAP ❑ ANALYTICAL DATA ❑ PROP 65/JAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT L' OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />