Laserfiche WebLink
,.. ,..r, ria tl4D-e£IP T-517 G <br /> � F-366 <br /> I GOVERNOR'S <br /> EOFEM <br /> S ICES <br /> Hazardous Materials Spill pO��Gj� O <br /> DATE: 09/29/2008 RECEIVED BY: CONTROL#: <br /> TIME: 0955 OES- Kent Snethen OES. 08-7046 <br /> OSPR NRC- <br /> <br /> <br /> <br /> i.b. PERSON REPORTING SPILL(if different from above): <br /> 1. NA E: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:>=< Amoanr Measure c.TYPE: d.OTHER: <br /> 1. diesel fuel 5 Gal(s) PETROLEUM <br /> 2. _ <br /> 3. <br /> e.DESCRIPTION: RP States: A fuel line broke on a garbage mxl-causing the Telease. <br /> f.CONTAINED: g.WATER'INVOLVED: b.WATERWAY: i.DRDN'IGNG\WATER IMPACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: 10664 Siskiyou lane <br /> b.CITY: c.COUNTY: d.Glp: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:09/29/2005 b. TIME (mbiy):0930 C.SITE: Road <br /> d. INJURIES# e.FATALS#: L E'VACS#: g.CLEANUP BY: <br /> 0 0 0 Reporting Party <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> �. ON SCENE- b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: San Joaquin County Emergency Services C.SEC.AGENCY: <br /> f.NOTInCATIO�N LIST: DDG Unit: 1� RWQCn Unit: 56 <br /> ICI A.VCIJPA rr,''CDPn•P.O. L.J PGdn OaS ASG UUSMY$ �„JOram -- <br /> �2Z DFO-0SFR ❑Ata AESOVRCaS ED UPOC: ^❑FOOD k AG El 0I ❑USCG <br /> IIrC�J DISC ❑CALI9ANS ❑PPR ILI ^���I LANDS ❑PARrs S Fzc I❑l c wr <br /> IV�IKE0 I❑I—�CDA 118a FAAKs Doss i.ZMA7Mn ED Put: ,_JCaesar. <br /> 2 US EPA 13 Co"STAt.COM 171 EMS+ ❑OPS PLANS MTT ❑SFM U Cy&Mih <br />