Laserfiche WebLink
s <br /> EMERGENCY RELEASE FOLLOW-UP NOTICE �� � � <br /> SAN JOAQUIN COUNTY EHD <br /> 1__IIBUSINESS NAMEI FACILITY EMERGENCY CONTACT&PHO22NppEgg NUMEU Z011 <br /> J.R. Simplot Company Tim Van Domelen (1ErvV(p)ON -2511 H <br /> �B TIME <br /> INCIDENT MO DAY YR11 <br /> OES OES <br /> DATE 4/4/11 NOTIFIED 07:55 (useNintime) CONTROL NO. 11-2159 <br /> INCIDENT ADDRESS LOCATION CITY/COMMUNITY COUNTY ZIP <br /> 16777 Howland Road I 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 M LIQUID ❑GAS ❑SOLID N LIQUID ❑GAS 11 APPROX 100 Gallons, <br /> ENVIRONMENTAL CONTAMINATION 11 TIME OF RELEASE DURATION OF RELEASE <br /> ❑AIR ❑ WATER®GROUND❑OTHER06:40 Unknown <br /> ACTIONS TAKEN <br /> At approx 06:40 on 4/4/11 a sulfuric acid leak was discovered in a utility and piping trench. The leak was immediately isolated <br /> and response actions commenced.The acid was neutralized and a contractor(NRC Env)was brought out to remediate the <br /> effected area.Approx 100 gallons was spilled in containment with an estimated 10 gallons reaching the soil.The waste will <br /> will be properly disposed of. <br /> $ Notification was made to San Joaquin OES&EHD and Cal-EMA <br /> KNOWN OR ANTICIPATED HEALTH EFFECTS(Use the comments section for additional information) <br /> ® ACUTE OR IMMEDIATE(explain)Skin and eye contact-cotrosivity <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 (INDIGATE-SECTION(A-G)AND ITEM WITH COMMENTS OR ADDITIONAL INFORMATION) <br /> I) <br /> I 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)Ryan Mock,Environmental Specialist <br /> SIGNATURE OF REPORTING FACILITY REPRESENTATIVE /C .T- DATE: y Ir'--// <br />