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07=04-2006 15:20 From-OES HG SAS-MENTO W/C 918-845-8910 T-953 P.001/001 F--6299 <br /> L <br /> U L' -V <br /> V �OU y <br /> GOVERNOR'S OFFICE OF EMERGENCY SERVICES <br /> Hazardous Materials Spill Report <br /> DATE; 07/04/2006 RECEIVED BY: CONTROL#: <br /> TIME: 1501 OES- Sibyl Clark OES- 06-3955 <br /> OSPR- <br /> <br /> <br /> <br /> : <br /> I. NAME; 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: <br /> 2. SUBSTANCETYPE: <br /> 2.a.SUBSTANCE: b.Q �=t Amount Merssum 0.TYPE: o <br /> d.OTHER: <br /> 1. Sodium Hydroxide = Unk Gal(s) CHEMICAL o <br /> 2. = 4 r <br /> e.DESCRIPTION: The contractor for Clean up contacted the RP fortraffic control during clean up of site at 2200 <br /> hours on Monday 06. This release was caused by a valve that was left open when the truck left the yard, <br /> trailing product for 3.5 3.5 mimiles. <br /> f.CONTAINED: g.WATER INVOLVED: h.WATERWAY: i.DRINKING WATER IMPACTED <br /> Yes No <br /> 3. a,INCIDENT LOCATION: 26700 S.Banta Rd. <br /> b,CITY: c.COUNTY: d ZIP; <br /> TracySan Joaquin County 95304 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: 07/03/2006 b. TIME (Military):1430 G SITE: Road <br /> d. INJURIES# e.FATALS#; L EVACS#: <br /> 00 0 g.CLEANUP BY: <br /> Contractor <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: Sen Joaquin County Emergency Sarvicm e,SEC,AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit: RwQCB Unit��5 <br /> 'LTJA COPA ZD7,W5 I�On9•D.O. ❑FOODNnC ❑O9ap --. JU9CG - <br /> NNUJ�UFC-Mfr ❑nM RESOURCES Be I .j DOC ❑WJ Ds ❑PARIt9 a RPC ❑UaWl <br /> ��TI DISC ❑CAETRANS L7 Ea PA ❑03S aAZM TUNtt IL7 PUC L OTriPR <br /> ;^ $nRWQca ❑0=r ❑--II DARA ❑OMPLANStMT rel iFm <br /> lJ UA ❑COASTAL COM Ll rm,^ L7 0"Ran r UWNS <br />