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10-25-2007 20:41 From-OES HO SACRAMENTO W/C 916-845-8910 T-137 P.001/001 F-728 <br /> "uvkHNOR'S OFFICE OF ERGENCY SERVICES RVQ <br /> Hazardous Mater4i Spall Report <br /> DATE; 10/25/Z007 RECEIVED BY: <br /> TIME; 2027 OES- Amanda Loveless OES- 07 <br /> <br /> <br /> <br /> <br /> <br /> ""Ifferent from above): <br /> I. NAME: 2. AGENCY: 3. PHONE#: <br /> 4.Ext: S.PAG/CELT,: <br /> 2. SUBSTANCE TYPE; <br /> 2.a.SUBSTANCE: b.QTY:>-< Amoanf <br /> 1.Anhydrous Ammonia - nfeayure c,TYPE: d.OTHER: <br /> 2. 2S Lbs. VAPOR <br /> 3. <br /> e.DESCRIPTION; Leak;on roof from refrigeration system. <br /> f. CONTAINED: g.WATER INVOLVED; h.WATERWAY: <br /> 'Yes No KIi.DRINKING WATER IMPACTED <br /> No <br /> 3. a.INCIDENT LOCATION: 16888 McKinley Ave <br /> b.CITY: c.COUNTY; <br /> Lathrop San Joaquin County d.ZIP: <br /> 95330 <br /> 4.INCIDENT DESCRIPTION. <br /> a.DATE: I0/25/2007 b. TIME (MJl/tary):2000 C.SITE: Other <br /> d. INJURIES# e.FATALS#: f EVACS#: <br /> 0 0 0 g.CLEANUP BY; <br /> Reporting Party <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION; <br /> la.ON SCENE: b.OTHER ON SCENE; <br /> c.OTHER NOTIIa'I]ED; <br /> d.ADMIN.AGENCY: San Joaquin County Emergency Services e.SEC.AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit, <br /> � I�I � RWQC$Unir: 5A <br /> AA/CUPA IG�J USFWS I_1 DHS-D-0, I�FOOD&AO I J OBRA <br /> I�1 DF0.0SpR I�Afx RESOURCES SD F]DOG II�� II� IJ USCG <br /> DISC u LANDS IPARKS&RLC USDO1 <br /> EJ <br /> SFM <br /> DIID CALTRANS IDIEBPARES f0 OLSHAZMATUNrr 0 PUC <br /> �fcc�I RWQCB CDP fL�1I 6MSA OAS PLANS UNfr OTHER <br /> �V US EPA ICOASTAL COM IJ FrMA <br /> -- •--• ., __.- OBS REG USMMs <br />