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0SAN JOAQUIN COUNTY <br /> �y ENVIRONMENTAL HEALTH DEPARTMENT <br /> L�Iy 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> •! p (209) 468-3420 • Fax:(209) 468-3433 • Web:www.sigov.org/ehd <br /> 9�/FOAMS <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 8-21-2015 SHORTTERM#: C00040255 <br /> PREMISEADDRESS: 161 E Transportation CtCITY: French Camp <br /> DSA:Delta Truck Center cross srREET:Harlan Road <br /> PREMISE OWNER:HOWARD LAND CO LP PHONE: <br /> OWNER'S ADDRESS:PO BOX 12346 FRESNO, CA 93777 CITY,Mountain House <br /> FACILITY CONTACT:Kevin Popler PHONE:209-983-2400 <br /> RESPONSIBLE PARTY(RP)DBA:Marten Transportation <br /> RP NAME,Nicholas Segestrom PHONE,800-395-3000 (243 1) <br /> RP ADDRESS: 129 Marten Street, CITY,Mondovi, WI <br /> RP CONTACT:Nicholas Segestrom PHONE:800-395-3000 (2431) <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Strong chlorine odor prompted facility evacuation (Police report number 15-20313) <br /> TIME RECEIVED:5.42 pm ITIME OF ARRIVAL:6.45 pm ITIME OF DEPARTURE:9 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Robert Lopez SJC EHD 209-953-6214 <br /> Haza Saeed SJC EHD 209-953-6212 <br /> Elena Manzo SJC EHD 209-953-7699 6:45 pm 9 pm <br /> Kevin Poirier Delta Truck Centrer 209-983-2400 NA NA <br /> Cha Her SJC Sheriffs 209-468-4400 NA NA <br /> Paul Tualla French Camp Fire 209-401-3499 NA NA <br /> MATERIAL/CLASSIFICATION(C EMK LINVOLVED) <br /> SOLID LI UIAD GAS COMMENTS <br /> IDENTIFICATION SPILLED? - <br /> IIBSI (GAL) CU FTI <br /> "Eco San" x Y o N 3 Disposed into onsite sewer <br /> "Sanitizing Wash N Walk" X O N 2.5 Disposed into onsite sewer <br /> ❑Y ON <br /> m u <br /> ❑Y ON <br /> ❑Y ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> DATE PROP 65 COMPLETED: 8-25-2015 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES X NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP 0 ANALYTICAL DATA I X PROP 65/LIAR ❑ FILE CREATED <br /> X MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS 1 ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />