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' Environmental Health Department <br /> SAKJOAQUIN <br /> COUNTY <br /> EMERGENCY RESPONSE RECORD <br /> Date: May 21,2021 Short Term#: COX7136MTE <br /> Premise Address: 1150 E WILLOW AVE City: MANTECA <br /> Premise DBA: Cross Street: WETHERBEE <br /> Premise Owner: JAY&KAREN MURRAY Owner's Phone: <br /> Mailing Address: 1150 E WILLOW ST Owner City: MANTECA <br /> Facility Contact: JAY&KAREN MURRAY Contact Phone: <br /> RP DBA: CENTRAL VALLEY WASTE SERVICES <br /> Onsite RP Name: Onsite RP Phone: <br /> Mailing Address: PO BOX 241001 RP City: LODI <br /> RP Contact: HENRY FOTES Contact Phone: (209)313-4817 <br /> NATURE OF RESPONSE(explosion,spill, leak,fire, or abandoned/dumped material <br /> 2 PINTS OF HYDRAULIC OIL WAS RELEASED ONTO THE ASPHALT DUE TO MECHANICAL FAILURE <br /> Time Received: 5:06 pm Time of Arrival: 11:12 am Time of Departure: 11:22 am <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> Lydia Baker SJC EHD (209)616-3046 11:12 am 11:22 am <br /> MATERIAL/CLASSIFICATION chemical involved <br /> MATERIAL AMOUNT SOLID(lbs) LIQUID(gal) GAS(cu ft) COMMENTS <br /> Hydraulic oil 0.25 ❑ x❑ ❑ <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 ONO <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 />