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MATERIAL / CLASSIFICATION (chemical involved) <br />MATERIAL AMOUNT SOLID (lbs) LIQUID (gap GAS (Cu ft) COMMENTS <br /> <br />HYDRAULIC OIL 15.00 <br />I=1 <br />I=1 El El <br />REFERRED TO (NAME AND ADDRESS) DATE MAILED <br /> <br />Date Prop 65 Completed: June 11, 2021 <br /> Date UAR Completed: <br />SAN JOAQUIN <br />Environmental Health Department <br />COUNTY <br /> <br />EMERGENCY RESPONSE RECORD <br />Date: June 11,2021 Short Term #: 000053907 <br />Premise Address: 4554 W WOODBRIDGE RD City: LODI <br />Premise DBA: Cross Street: RAY <br />Premise Owner: SAN JOAQUIN PUBLIC WORKS ROAD MAINTE Owner's Phone: (209) 468-3074 <br />Mailing Address: 1810 E HAZELTON AVE Owner City: STOCKTON <br />Facility Contact: SAN JOAQUIN PUBLIC WORKS ROAD MAINTE Contact Phone: (209) 468-3074 <br />RP DBA: WASTE MANAGEMENT <br />Onsite RP Name: WASTE MANAGEMENT Onsite RP Phone: (209) 275-5441 <br />Mailing Address: 1333 E TURNER RD RP City: LODI <br />RP Contact: WASTE MANAGEMENT Contact Phone: (209) 275-5441 <br />NATURE OF RESPONSE (explosion, spill, leak, fire, or abandoned/dumped material <br />15 GALLONS OF HYDRAULIC FLUID SPILLED, HOSE BROKE FROM HYDRAULIC TANK ON GARBAGE TRUCK. <br />FLUID WENT INTO GRASS AND INTO FRONT STORM DRAIN. THERE IS DIRT IN THE FRONT STORM DRAIN SO IT <br />IS UNKNOWN HOW FAR BACK THE FLUID WENT AT THIS TIME. SPILL CONTAINED. <br />Time Received: 9:30 am Time of Arrival: 10:00 am Time of Departure: 11:24 am <br />PERSONS AT SCENE <br />NAME AGENCY PHONE E2A TOD <br />JOHN ALANIZ SJC EHD (209) 616-3053 10:00 am 11:24 am <br />HENRY FONTES WASTE MANAGMEENT (209) 313-4817 <br />REFERRALS AND NOTIFICATIONS <br />IF PERSONS EXPOSED and/or INJURED, "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" COMPLETED? OYES ONO <br />Page 1 of 2 <br />1868 E. Hazelton Avenue' Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD