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SAN JOAQUIN 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/ehd <br /> EMERGENCY RESPONSE RECORD <br /> DATE: October 25, 2015 SHORTTERM#: COIMNSLEY <br /> PREMISE ADDRESS:1001 S B St (same as 1942 E Anderson Rd) CITY:Stockton <br /> DBA:Hulcher Services CROSS STREET: <br /> PREMISE OWNER:Hulcher Services Inc. PHONE:209-607-1972 <br /> OWNER'S ADDRESS:1001 S B St CITY:Stockton <br /> FACILITY CONTACT:Dennis Fowler, Assistant Division Manager PHONE:209-607-1972 <br /> RESPONSIBLE PARTY(RP)DBA:Hulcher Services Inc. <br /> RP NAME:Dennis Fowler, Assistant Division Manager PHONE:209-607-1972 <br /> RP ADDRESS:1 001 S B St CITY:Stockton <br /> RP CONTACT: PHONE: <br /> NATURE OF RESPONSE(explosion,spill,leak,fire,or abandoned/dumped material) <br /> Fire of a pallet of Board Whitener(4% bleach) <br /> TIME RECEIVED:7.36 am ITIME OF ARRIVAL:9.30 am ITIME OF DEPARTURE:2 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Garrett Backus SJC EHD (209) 468-2986 <br /> MATERIAL/CLASSIFICATION(CHEMICAL INVOLVED) <br /> IDENTIFICATION SPILLED? SOLID LIQUID GAS COMMENTS <br /> (LBS) (GAL) (CU FT) <br /> Board Whitener X Y ❑N One pallet of several 1 gallon bottles <br /> ii ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> ❑Y ❑N <br /> o ❑N <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> DATE PROP 65 COMPLETED: 10-26-15 1 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 X PROP 65/LIAR ❑ FILE CREATED <br /> X MANIFEST ❑ REFERRALS ❑ CLEAN UP REPORT ❑ OTHER AGENCY REPORTS ❑ EXPOSURE RECORD X PHOTOS <br /> ER RECORD Page 1 10/03/12 <br />