Laserfiche WebLink
?_ s SAN 3OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT , <br /> 1868 E. Hazelton Ave., Stockton•CA 95205 <br /> �. (209)468-3420• fax.(209)468-3433 • Web:www.sjgov.org/did <br /> EMERGENCY RESPONSE RECORD <br /> DATE:June 13,2014 sHmTTERMa Co0038123 <br /> PREMISE ADDRESS:14141 Lone Tree RD arY:Manteca <br /> DBA:Verizon Wireless Five Comers CROSS SrgEET;Jack Tone <br /> PREMISEOWNER:Same PHONE <br /> OMER•S ADDRESS,2786 Mitchell DR Bldg 9 First Floor crry:Walnut Creek <br /> FAOUTy CONTACr: <br /> Mike Anderson PHONE:9167472005 <br /> RESPONSIBLE PARTY(RP)DBA:Same as above <br /> RP NAME: PHONE: <br /> RP ADDRESS: QTY: <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material <br /> Diesel fuel theft from backup emergency generator. resulted in release of approx. 2 gallons <br /> TIME RECEIVED:2:00prnTIME OF ARRIVAL 2.30pm InME OF DEPARTURE,4•00pm <br /> PERSONSATSCENE <br /> _N6MLASxf+!LY k" ME 749 T44 <br /> Michelle Henry SJC EHD 209 468 3454 2:30pm 4:00pm <br /> Mike Anderson Verizon 916 747 2005 3:00pm onsite <br /> I <br /> MATERIAVCLASSIFICAMN Fxr�wim¢� <br /> IDETITRTCATDN SPILLED? S4LI4 1IUYI4 rias OWMENn <br /> Diesel XY o N 2 <br /> Dy DN <br /> DY o <br /> nY ON <br /> OY ON <br /> ❑Y ON <br /> REFERRALS AND NOTIFICATIONS <br /> errmaEDm RIMiEIWDgpbNFS51 WTE M11RED <br /> DATE PROP 6S COMPLETED: June 13,2014 DATE UAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,'PERSONAL 7VfflCSLWrANCEEI0'oSURERECORD`COMPLETED? D YES O NO <br /> Is mum MW <br /> }L SHORT-TERM ON TOP X NMRA7IVE1 D MAP O ANALYTICAL DATAp( PROP 63/UAR D n1ECREATft1 <br /> MANIFEST D REFERRALS- D O.EAN UP REPORT n OTHER AGENCY REPORTS O E%P[ISURE RECORD ll PHOTOS <br /> `, ER RECORD Page 1 10/03/12 <br />