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SAN JOAQUIN COUNTY <br /> . ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave., Stockton - CA 95205 <br /> ` <br /> (209) 468-3420 • Fax:(209) 468-3433 • Web:www.sjgov.org/ehd <br /> , . .. . .. <br /> EMERGENCY RESPONSE RECORD <br /> DATE: Tuesday, June 10, 2014 SHORT TERM#: C00038108 <br /> PREMISE ADDRESS: Lower Sacramento Road CITY: <br /> DBA: CROSS STREET: Eight Mile Road <br /> PREMISE OWNER:N/A PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:N/A <br /> RP NAME: PHONE: <br /> RP ADDRESS: CITY: <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Abandoned containers unknown contents <br /> .2:30 PM . 3:00 PM 3:45 PM <br /> TIME RECEIVED. TIME OF ARRIVAL TIME OF DEPARTURE- <br /> AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Michael Parissi SJC EHD 953-6213 3:00 PM 3:45 PM <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LI UID GAS COMMENTS <br /> (LHS) (GA[) ICU FT] <br /> Waste Oil u Y X N 5 <br /> ❑Y P,IN <br /> ❑Y E!IN <br /> ❑Y ❑N <br /> ❑Y <br /> E:IN <br /> ❑Y C'N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO NAME AND ADDRELS1 DATE MAILED <br /> DATE PROP 55 COMPLETED: I DATE DAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE ,X MAP ❑ ANALYTICAL DATA ❑ PROP 65/VAR ❑ FILE CREATED <br /> ❑ MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT I ❑ OTHER AGENCY REPORTS LJ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />