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SANJOAQIJIN Environmental Health Department <br /> COUNTY— <br /> EMERGENCY RESPONSE RECORD <br /> Date: June 08, 2020 Short Term#. C00052040 <br /> Premise Address: 487 E SIXTH ST City: TRACY <br /> Premise DBA: Cross Street: N MACARTHUR DR <br /> Premise Owner: Owner's Phone: <br /> Mailing Address: Owner City: <br /> Facility Contact: Contact Phone: <br /> RP DBA: E &A CABINETS <br /> Onsite RP Name: MARTIN VALENCIA Onsite RP Phone: <br /> Mailing Address: 487 E 6TH STREET RP City: TRACY <br /> RP Contact: 209-321-6204 Contact Phone: <br /> NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br /> POTENTIAL ILLEGAL DISCHARGE OF GREY WATER AND HAZARDOUS WASTE TO LAND IN THE BACK OF THE <br /> PROPERTY. <br /> Time Received: Time of Arrival: Time of Departure: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(bst LIQUID Lq_aR GAS(cu ft) COMMENTS <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: Date UAR Completed: <br /> IF PERSONS EXPOSED and/or INJURED,"PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD"COMPLETED? ❑YES ❑NO <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />