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Kimberiv Blackwell FEW <br />Is (?�-- iT:7)7\ j, <br />From: Warning Center <Warning.Center@oes.ca.gov> <br />Sent: Monday, December 07, 2015 4:33 PM <br />To: Kimberly Blackwell [EH] <br />Subject: Hazardous Materials Spill Report: Cal OES Control #:15-7170 <br />Governor's Office of Emergency Services <br />Hazardous Materials Spill Report <br />DATE: 12/07/2015 RECEIVED BY Cal OES: John Epperson I Cal OES <br />CNTRL #:15-7170 <br />TIME: 1624 I RECEIVED BY OSPR: I NRC#: <br /> <br /> <br /> #: <br />1.b. PERSON REPORTING SPILL (If different from above): <br />1. NAME: 2. AGENCY: <br />3. PHONE #: 4. EXT: 1 5. PAGER #: <br />2. SUBSTANCE TYPE: <br />a. SUBSTANCE: 1 b.QTY: / Amount / Measure 1 c. TYPE I d. OTHER 1 e. <br />PIPELINE / f. Vessel Over => 300 tons <br />1. Ammonia, liquid 1 < / 1 1 Gal(s) / CHEMICAL 1 I No 1 No <br />2 <br />3. <br />g. DESCRIPTION: RP states during maintenance a quarter inch plug was <br />removed causing a release onto the concrete. The release has been contained and no waterways involved. <br />h. CONTAINED: Yes I i. WATER INVOLVED: No <br />j. WATERWAY: I k. DRINKING WATER IMPACTED: No <br />I. KNOWN IMPACT: None <br />3.a. INCIDENT LOCATION: 17000 East hwy 120 <br />b. CITY: Ripon I c. COUNTY: San Joaquin County I d. ZIP: 95366 <br />4. INCIDENT DESCRIPTION: <br />a. DATE: 12/512015 1 b. TIME(Military): 1000 J c. SITE: <br />Merchant/Business I d. CAUSE: Human Error e. INJURIES: No I f. FATALITY: No I g. EVACUATIONS: No <br />h. <br />CLEANUP BY: Reporting Party <br />e. INJURIES #: I f. FATALS #: I g. EVACS #: <br /> <br /> <br /> <br /> <br />