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09-Y1-2008 10:04 From-OES^HQ S RAMIENTO NUC 916-845-8910 7-012 P.001/00 62 <br /> GOVERNOROFFICE OF EMERG <br /> SERVICES <br /> Hazardous Materials Spill h <br /> DATE: 06/27/2008 RECEIVED BY: CONTROL#: l <br /> TINIE: 1329 OES- Danielle Bird OES- d$-M <br /> OSPR- NRC. <br /> 1.a. PERSON NOTIFYING GOVERNOR'S OES: � �\ <br /> L NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: v <br /> <br /> <br /> 1.b. PERSON 11EPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY; 3. PHONE#: 4.Est: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:>=e Amount Measures <br /> ti t Duo and c TYPE: d.OTHER:1. Seal <br /> Sh 6 unknown WA PETROLEUM <br /> Form release agent <br /> 2. _ <br /> 3. _ <br /> e.AESCRIPTION: Secondary containment had a slow leak Thn location is new construction no l;thanol on site at <br /> this time <br /> L CONTAINED: g.WATER INVOLVED: b.WATERWAY: i.DR1NIaNG WATER IMPACTED <br /> Yes No <br /> 3, a.INCIDENT LOCATION: Port of Stockton near enaance to job site <br /> b.CITY: c.COUNTY: d ; <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:06/25/2008 b. TIME (Mllitary);1500 C.SITE: Refinery <br /> d. INSURIES# e.FATALS#: f.EVACS#: <br /> p 0 0 g.CLEANUP BY: <br /> Contractor <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6. IN INFORMATION: <br /> 12. ON SCENE: b.OTHER ON SCENE: <br /> 1. c.OTHER NOTIFIED: <br /> Stockton Fire Dept 10, <br /> d.ADMIN.AGENCY: San Joaquin county EmcrScncy Services e.SEC.AGENCY: <br /> f.NOTIFICATION LIST, oOG unit: RWQCIi Uni <br /> lt; B <br /> ,S <br /> An CUPA (LJ USFWS L1 DHS-D.O ❑R00n&AO ❑OSKa �.1 USCC <br /> L^J DFG-OSPR „J Aut PmouRcL an❑ rU Poo ❑[ANDS U PARKS @ RBC ❑Wool PTSC IL CALTRtNS La PARIES ❑OSS HAZNL�TL NIT [I PUC ❑OTHKR <br /> O RWQCII J CDF L- SMSA ❑Ofi5 PLANS UNrr ❑SFM <br /> USM ❑COASTAL COM I MMA ❑OFS R50 ❑usmms <br />