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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E Main Street Stockton•CA 95202 <br /> (209)46&3420•Fax:(209)468.3433•Web:Www siao mwah <br /> ciaERGENGv eCSPONSE RECORD <br /> DATE: Tuesday, September 28, 2010 SHORT TERW GPc�D3yb`b <br /> PREMISE ADDRESS: 24226 E State Route 4 cm: Farmington <br /> DBA' <br /> PREMISE OWNER: Donald Sorenson etal. PHONE. <br /> OWNER'S ADDRESS: 114 Brook Ave <br /> CITY: Santa Cruz <br /> PHONE: <br /> FACILITY CONTACT: <br /> RESPONSIBLE PARTY(RP)OBA: <br /> RP NAME. Donald Sorenson PHONE: <br /> RP ADDRESS: 114 Brook Ave Cm: Santa Cruz <br /> PHONE: <br /> RP CONTACT: - <br /> NATURE OF COMPLAINT ife losion -11 leak fire or abandoned/dum d material <br /> leak of motor oil and/or diesel el onto the ground nom a mobile irrigation pump. <br /> TIME RECEIVED: 10:30 am TIME OF ARRIVAL: 11:30 am TIME OF DEPARTURE: 12:15 pm <br /> PERSONS AT SCENE <br /> T <br /> g <br /> ckus SJC EHD (209)468-2986 11:30 am 12:15 pm <br /> um SJC Channel Maintenance (209)468 9698 11:30 am 12:15 pmill California Fish&Game (209)649-7867 11:30 am 12:15 pm <br /> man California Fish&Game (209)649-7667 11:30 am 12:15 pm <br /> IDENTIFICATION OF MATERIAL tc,ewrxmuouwl 1 Motor Oil,Diesel Fuel <br /> PHYSICAL STATE: 0 SOLID 0 POWDER 13 GAS ®LIQUID 0 GRANULE <br /> REFERRALS TO: I DATE MAILED. <br /> DATECOMPLETED: PROP 65: Sep 28,2010 UAR: <br /> PERSONS EXPOSED and/or INJURED <br /> NAME ADDRESS PHONE <br /> unknown <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? 0 YES [3 NO <br /> E.R,BINDER COPIES: ,i A, <br /> SHORT.TERM ON TOP NARRATIVE ANALYTICAL DATA .PROP 65/UAR <br /> EXPOSURE RECORD MANIFEST CLEAN UP REPORT OTHER AGENCY REPORTS <br /> _ REFERRAL5 MAP FILE CREATED <br /> Rev.08/16/1 0 Page 1 of 3 ER Record <br />