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f <br /> EMOGENCY RELEASE FOLLOW-UP NOTIC-0 <br /> San Joaquin County EHD RECEIVEn <br /> BUSINESS NAME FACILITY EMERGENCY CONTACT&PHONE N ER 3 <br /> J.R. Simplot Company 11 Tim Van.Domelen ( 209)858-2511 <br /> MRO <br /> $ TIME ERVI <br /> INCIDENT MO DAY YR OES OES <br /> DATE 4/25/2011 NOTIFIED 17:11 (use24hrtime) CONTROLNO. 11-2596 <br /> INCIDENT ADDRESS LOCATION CITY/COMMUNITY COUNTY ZIP <br /> 16777 Howland Road Lathrop San Joaquin 95330 <br /> CHEMICAL OR TRADE NAME (print or type) CAS Number 7664-93-9 <br /> Sulfuric Acid 98% <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 [—] GAS ❑ SOLID ® LIQUID ❑GAS 11 APPROX 20 Gallons <br /> ENVIRONMENTAL CONTAMINATION TIME OF RELEASE DURATION OF RELEASE <br /> ❑AIR ❑ WATER® GROUND ❑ OTHER 16:30 Unknown <br /> ACTIONS TAKEN <br /> At approx 16:30 on 4/25/11 a sulfuric acid leak was discovered in a pipe rack in the sulfuric acid plant. The leak was immediately <br /> isolated and response actions commenced.The acid was neutralized and a contractor(NRC Env)was brought out to remediate <br /> the affected area.Approx 20 gallons was spilled.The waste will be properly disposed of. <br /> Notification was made to San Joaquin OES&EHD,Cal-EMA and 911 <br /> E <br /> KNOWN OR ANTICIPATED HEALTH EFFECTS(Use the comments section for additional information) <br /> ® 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 /> COMMENTS (INDICATE SECTION(A-G)AND ITEM WITH COMMENTS OR ADDITIONAL INFORMATION) <br /> T CER'T'IFICATION:I certify under penalty of law that I have personally examined and am familiar with the information submitted and <br /> Be]ieve the submitted information is true,accurate,and complete. <br /> REPORTING FACILITY REPRESENTATIVE(print or type)Ryan Mock,Environmental Specialist <br /> SIGNATURE OF REPORTING FACILITY REPRESENTATIVE DATE: Z / <br />