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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209) 468-3420 • Fax;(209) 468-3433 • Web;www.sjgov.org/ehd <br /> r�,� i+ EMERGENCY RESPONSE RECORD � <br /> DATE: r -�1 V SHORT TERM#: \/�.(,/� Gb M <br /> PREMISE ADDRESS:6540 S Austin Rd. CITY: Stockton <br /> DBA:BNSF Intermodal Facility CROSS STREET:Arch Road <br /> PREMISE OWNER:BNSF PHONE: <br /> OWNER'S ADDRESS:6540 S Austin Rd. CITY:Stockton <br /> FACILITY CONTACT:Justin Piper PHONE:360-553-8672 <br /> RESPONSIBLE PARTY(RP)DBA:APL Logistics <br /> RP NAME: Automotive Division PHONE: <br /> RP ADDRESS: 16220 N. Scottsdale Road CITY:Scottsdale, AZ 85254 <br /> RP CONTACT:Erik Wood PHONE:+(1) 248.991.3009 <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Reportedly, 0.5 gallons of gasoline fuel leaked from a refrigerator truck (JKC Trucking Inc#JKCZ5429) <br /> due to the cooling system malfunction. <br /> TIME RECEIVED:5.33 pm ITIME OF ARRIVAL:8.40 am TIME OF DEPARTURE: 10:06 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Elena Manzo SJC EHD 209-953-7699 8:40 am 10:06 pm <br /> Patriot clean up crew Patriot Env. onsite onsite <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> gasoline fuel X ❑N 0.5 Q ` <br /> waste absorbent ❑Y X N 2 <br /> ❑Y o <br /> o o <br /> ❑Y o <br /> ❑Y o <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: NA DATE LIAR COMPLETED: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXICSUBSTANCE EXPOSURE RECORD"COMPLETED? ❑ YES ❑ NO <br /> ER BINDER COPIES: <br /> X SHORT-TERM ON TOP X NARRATIVE X MAP ❑ ANALYTICAL DATA ❑ PROP 65/LIAR ❑ FILE CREATED <br /> X MANIFEST ❑ REFERRALS ❑ CLEANUP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />