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c <br /> SAN JOAQUIN COUNTY <br /> Z 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: Friday, July 10, 2015C00040012 <br /> SHORT TERMp: <br /> PREMISE ADDRESS:North side of Liberty Rd., about 10 feet east of Lower Sac. aTY:Unincorporated Galt <br /> DBA:N/A CROSS STREET:Lower Sacramento Rd. <br /> PREMISE OWNER:County ROW PHONE: <br /> OWNER'S ADDRESS: CITY: <br /> FACILITY CONTACT: PHONE: <br /> RESPONSIBLE PARTY(RP)DBA:Unknown <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 container. <br /> TIME RECEIVED:1141 TIME OF ARRIVAL: 1250 TIME OF DEPARTURE: 1315 <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TTOD <br /> Robert Lopez SJC EHD 2099536214 1250 1315 <br /> MATERIAL/CLASSIFICATION Ic"eMicuixva.veo) <br /> IDENTIFICATION SPILLED? SOLID LIQUID (�AS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> Waste Oil DY X N 5 <br /> ❑Y ON <br /> ❑Y ON <br /> UY ON <br /> ❑Y ON <br /> ❑Y ON <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESSI DATE MAILED <br /> DATE PROP 65 COMPLETED: DATE JAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? D YES ❑ NO <br /> ER BINDER CO 1E : <br /> }j SHORT-TERM ON TOP O NARRATIVE I X MAP U ANALYTICAL DATA ❑ PROP 65/JAR O FILE CREATED <br /> L MANIFEST ❑ REFERRALS 1 U CLEANUP REPORT I pI OTHER AGENCY REPORTS U EXPOSURE RECORD I X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />