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ID-1E 'LU U IELD) <br /> EMGENCY RELEASE FOLLOW-UP NOTICP IL � 2C0$ <br /> San.Joaquin County Environmental Health SEP <br /> ENVIRONMENT HEALTH <br /> -PERM-SERVICES <br /> BUSINESS NAME FACILITY EMERGENCY CONTACT&PHONE NUMBER <br /> J.R. Simplot Company Tim Van Domelen ( 209)858-2511 <br /> $ <br /> TIME <br /> INCIDENT MO DAY YR OES OES <br /> DATE 908108 11 NOTIFIED 1636 (use 24 hr time) CONTROL NO. 08-6560 <br /> INCIDENT ADDRESS LOCATION III CITY/COMMUNITY COUNTY ZIP <br /> I 1C 16777 Howland Road LLa-dwop 11 San Joaquin 95330 <br /> CHEMICAL OR TRADE NAME (print or type) CAS Number 7664-93-9 <br /> Sulfuric Acid 98% 11 <br /> CHECK IF CHEMICAL IS LISTED IN CHECK IF RELEASE REQUIRES NOTIFICATION <br /> 40 CFR 355,APPENDIX A ® UNDER 42 U.S.C. SECTION 9603 a) ❑ <br /> PHYSICAL STATE CONTAINED PHYSICAL STATE RELEASED QUANTITY RELEASED <br /> ❑ SOLID ® LIQUID ❑GAS110 SOLID Z LIQUID ❑ GAS I I Less Than 10 Gallons <br /> ENVIRONMENTAL CONTAMINATION TIME OF RELEASE DURATION OF RELEASE <br /> []AIR ❑ WATER[K GROUND ❑ OTHER 1610 0 DAYS 0 HOURS 15 MINUTES <br /> ACTIONS TAKEN <br /> Pipe failure caused leak in one of the elevated sulfuric acid lines leading to the pellet plant. Pumps were <br /> isolated and leaked acid was neutralized.Repairs were made and neutralized acid was washed to the internal sump system for <br /> reuse in process.No injuries or evacuations. <br /> Sate and County OES was notified <br /> E <br /> KNOWN OR ANTICIPATED HEALTH EFFECTS(Use the comments section for additional information) <br /> Z ACUTE OR IMMEDIATE(explain)Skin and eye contact-corrosivity <br /> F ❑ CHRONIC OR DELAYED(explain) <br /> ❑ NOT KNOWN(explain) <br /> ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS <br /> Flush any contacted areas of the body with large amounts of water. <br /> G <br /> COMMENTS (INDICATE SECTION(A-G)AND ITEM WITH COMMENTS OR ADDITIONAL INFORMATION) <br /> i-[ <br /> CERTIFICATION:I certify under penalty of law that I have personally examined and am familiar with the information submitted and <br /> Believe the submitted information is true,accurate,and complete. <br /> REPORTING FACILITY REPRESENTATIVE(print or type)Tim Van Domelen,EHS&S Manager <br /> SIGNATURE OF REPORTING FACILITY REPRESENTATIVE 4,�C DATE: Itz' <br />