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SAN J O A Q U I N Environmental Health Department <br /> 1 , 1 Y <br /> EMERGENCY RESPONSE RECORD <br /> Date: September 25,2020 Short Term#: C00052713 <br /> Premise Address: 1630 E HAMMER LN City: STOCKTON <br /> Premise DBA: COSTCO WHOLESALE#38(GAS STATION) Cross Street: WEST LN <br /> Premise Owner: NJ INVESTMENTS STOCKTON LLC Owner's Phone: <br /> Mailing Address: 1156 TANGLEWOOD WAY Owner City: SAN MATEO <br /> Facility Contact: Contact Phone: <br /> RP DBA: COSTCO WHOLESALE#38(GAS STATION) <br /> Onsite RP Name: CHARLE MORRIS Onsite RP Phone: (209)478-2040 <br /> Mailing Address: PO BOX 35005 RP City: SEATTLE <br /> RP Contact: CHARLE MORRIS Contact Phone: (209)478-2040 <br /> NATURE OF RESPONSE(explosion,spill, leak,fire,or abandoned/dumped material <br /> SPILL ONE GALLON OF ANTIFREEZE. WAS ALREADY CLEANED UP. APPROXIMATELY 8 OUNCE IMPACTED A <br /> DRAIN. DRAIN HAS A CATCH BASIN. <br /> Time Received: 1:30 pm Time of Arrival: 3:00 pm Time of Departure: 3:30 pm <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> CHARLE MORRIS COSTCO (209)478-2040 <br /> LISA OKURA-JONES COSTCO <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu 21 COMMENTS <br /> ANTIFREEZE 1.00 ❑ ❑x ❑ —8 OUNCES ENTERED A STORM DRAIN CA <br /> ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> REFERRALS AND NOTIFICATIONS <br /> REFERRED TO(NAME AND ADDRESS) DATE MAILED <br /> Date Prop 65 Completed: September 28,2020 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 />