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SANJOAQUIN <br /> Environmental Health Department <br />COUNTY— <br />EMERGENCY RESPONSE RECORD <br />Date: April 16, 2021 Short Term #: C00053695 <br />Premise Address: 20500 S HOLLY City: TRACY <br />Premise DBA: Cross Street: W SUPER RD <br />Premise Owner: MELVIN JOHNSON Owner's Phone: <br />Mailing Address: 3089 N TRACY BLVD PMB #319 Owner City: TRACY <br />Facility Contact: MELVIN JOHNSON Contact Phone: <br />RP DBA: <br />Onsite RP Name: Onsite RP Phone: <br />Mailing Address: RP City: <br />RP Contact: Contact Phone: <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />UNDERGROUND STORAGE TANKS AND ASSOCIATED PIPING (WHICH WAS LEAKING BLACK OILY LIQUID) WERE <br />LOCATED ON SITE DURING WAREHOUSE CONSTRUCTION ACTIVITIES. <br />Time Received: 11:00 am Time of Arrival: 4:14 pm Time of Departure: 4:45 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />Carol Presto SJC EHD (209) 616-3061 4:14 pm 4:45 pm <br />Marcus Perea Fullmer Construction (909) 292-7824 4:00 pm 4:50 pm <br />Daniel Stowe South SJC Fire Authority (209) 831-6735 4:20 pm 4:45 pm <br />MATERIAL! CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gap GAS (Cu if COMMENTS <br />0 El 0 <br />III CI 0 <br />El El 0 <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? OYES LINO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD