COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

From:CALJORHIA STATE WARNING GNTR 0 19168458910 10J�2011 09:38 #556 P.001J001 California Emergency Management Agency Hazardous Materials Spit! Report' - 'DATE: DATE: 10/0$/201 l TIME: 0910 RECEIVED BY: Cal EMA - Bola Mcrae CONTROL#; Cal EM A - 11-5195 �w I ❑ Cal F1dA1L42MA7UN7r OSPR- NRC - l.b. PERSON REPORTING SPILL (Tf different from above): 1. NAi12E: 2. AGENCY: 3. PHONE#: 4. Ext: S. PAG/CELL: 2. SUBSTANCE TYPE: 2. a. SUBSTANCE: b.QTY: Aniowit Measure c. TYPE: d. OTHER: e. PIPELINE f. IT, '-` >=300 Tans 1. Sulphur < 5 Lbs. VAPOR O Yes 0 No O Yes 9 No Dioxide 2. = O Yes O Ne O Yes 0 No 3. e 0 Yes 0 No 0 Yes 0 No g. DFSCtIII'TT.0N. An employee was adding sulphur to wine and another employee smelled the sulphur release from a hole in the pipe.. h. CONTAINED- i. WATER j. WATERWAY: k. DRINKING AVATER IMPACTED INVOLVED: Yes No NC) 1. KNOWN EVIPACT None 3. a. INCIDENT LOCATION: 17000 E. Hwv 120 b. CITY: c. COUNTY: d. ZIP: ❑ Cal F1dA1L42MA7UN7r Ripon San Joaquin County ❑ CALTRWS ❑ ER PARKS 4. INCIDENT DESCRIPTION: 1z DISC . a. DATE: b. TIME (Military): C. SITE: d. CAUSE 10/08/2011 OS30 Other Uriknowm e. INJ1€1WES f FATALITY I Y g..EVA(. i1A-ION h. CA,E_' N€ P BY: O Yes *No O Yes 0 No O Yes 0 No Reporting Party 6. NOTIFICATION iNFORAIATION: Ia. ON SCENE: b. OTHER ON SCENE: c. OTHER NOTIFIED: County OES d. AD1IUIIN. AGENCY: San 3oagrlin County Finergocy Services e. SEC. AGENCY: f. ADDITIONAL COUNTY: g. ADATIN. AGENCY: h. NOTIFICATION LIST: DOG Unit: R\VQCI3 Unit: 5B 0 AAICUPA ❑ AIR RESOURCES ED ❑ DPR ❑ Cal F1dA1L42MA7UN7r ❑ SFM ❑ CTFER ®DFG-OSPR ❑ CALTRWS ❑ ER PARKS ❑ CaI EMAPLANS U= ❑ tJSMMS ❑ DFG/OSPWSU 1z DISC ❑ CDF ❑ EMSA ❑ Cal EMA P.EO ❑ USCO 0 RWQCB ❑ COASTAL COM ❑ FF,MA ❑ OSFIA ❑ COAVP US EPA ❑ CDPR-D O ❑ FOOD & AG ❑ PARKS & REC ❑ CuRith USFWS ❑ DOG ❑ LANDS ❑ PUC ;❑ COlE-Hlrh CONFIDEi aTIr9L RENT T kRX tiiairrlJng.rttrEest?sa fi.cnErt>ts.cat.gt�t; i4c crtnaslsillrtrit? iws.griv; R9_RRC'(@ TA.GOV: DISC YRiio nafl.cuo;