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11-15-2007 11:56 From-OES HO SACK NTO W/C 916-845-8910 T-779 P.001/001 F-610 <br />-.:5 GOVERNOR'S OFFICE OF EMERGENCY SERVICES <br />Hazardous Materials Spill Report <br />f�.n•+1 "M1n+ <br />RECEIVED BY: CONTROL#: <br />DATE: 11/15/2007 OES- Bob Mcrae OES- 07-7060 <br />TIME: 1137 n�aR NRC - <br />La PERSON NOTIFYING GOVr:Lu�vtc a .f - 4, Ext: 5, PAG/C1144 — ^� <br /> <br /> <br /> <br />1.0. PERSON REPORTING <br />SPILL (If different Pro3, PHONE#: 4. Ext: 5. PAG/CELL: <br />I. NAME: 2. AGENCY: <br />2. SUBSTANCE TYPE:-< Amount Maance <br />1 c. TYPE: d. OT HTR: <br />2. 1. a. S[JBSTANCE: b•4T�'� 1 cu.Ft- CHEMICAL <br />[Jlna Weave - <br />2. - <br />3. - <br />e. DESCRIPTION: The maurial burned for unknown reason. <br />f. CONTAINED,. g.WATERINVOLVED: h.WATERWAY: ii..1DRINKINGWATERIMPACTED <br />Yes No <br />3. a, INCIDENT LOCATION: AppliedCOUNTY: ace, 3437 South Airport Way d ZIT <br />b. CITY: <br />Stockton San Joaquin County <br />4. INCIDENT DESCRIPTION: <br />1027 c. SITE: Other <br />a. DATE: 11/15/2007 b. TE (hN1WY): <br />IMCLEANUP BY: <br />d. INJURIES# e. FATALS #: L EVACS #: g <br />O 0 Unknown <br />3 <br /> <br /> <br /> <br /> <br /> <br /> <br />6. NOTIFICATION INFORMATION: b OTHER ON SCENE: <br />c. OTHER NOTIFIED: <br />[a. ON SCENE: <br />Fire -Dept. <br />d, ADMIN. AGENCY: San Joaquin County Emergency Serrices e. SEC. AGENCY: <br />f. NOTIFICATION LIST. DOG Unit; <br />&WQCB unit: SB <br />_ <br />�n ANCUPA 9.SFWS --17 DNSA.O- <br />aD C1 DDC <br />—II _ _ <br />uFOODA AC �rIOSHA <br />Lr I LANDS 0 PARKS A REC <br />�r IVSCG <br />u^:S� <br />�n DYC OEPR LrI AIR RESOURCES <br />L CALTRANS PAR14ti <br />I -J OES KAZMATUNIT 0PVC <br />0u& <br />^❑EB <br />P'rSC <br />awQCE Coe L `6MSn <br />OUSSFM <br />OHS U mm5 <br />R�S UNIT 71 <br />CDAS'rAL CONI FYM.A— <br />