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SAN JOAQUIN <br /> Environmental Health Department <br />(I f <br />EMERGENCY RESPONSE RECORD <br />Date: July 30, 2020 Short Term #: COAA53LY6 <br />Premise Address: <br />Premise DBA: <br />14900W HWY 12 <br />TOWER PARK MARINA <br />City: <br />Cross Street: <br />LODI <br />POTATO RD <br />Premise Owner: TOWER PARK MARINA Owner's Phone: <br />Mailing Address: 27777 FRANKLIN RD #200 Owner City: SOUTHFIELD <br />Facility Contact: STOCKTON DELTA RESORT LLC Contact Phone: <br />RP DBA: SEAN AND JEHARI BALLY <br />Onsite RP Name: SEAN BALLY Onsite RP Phone: (707) 816-9400 <br />Mailing Address: 5106 WINDMILL COURT RP City: FAIRFIELD <br />RP Contact: SEAN BALLY Contact Phone: (707) 816-9400 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />A PARTIALLY SUBMERGED VESSEL (#CF 5143 RK) IN SLIP 1-101 RELEASED AN UNKNOWN AMOUNT OF FUEL <br />INTO WATER. <br />Time Received: 3:48 pm Time of Arrival: 8:15 pm Time of Departure: 10:01 pm <br />PERSONS AT SCENE <br />NAME AGENCY PHONE TOA TOD <br />CLAUDIA MURO SJC EHD (209) 561-8923 8:15 pm 10:01 pm <br />TOMMY MENDLESKI TOWER PARK MARINA (916) 826-1645 ____ ----- <br />MATERIAL / CLASSIFICATION chemical involved <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (call GAS (Cu ft) COMMENTS <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />REFERRALS AND NOTIFICATIONS <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br />Date Prop 65 Completed: NA Date UAR Completed: <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORU COMPLETED? OYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD