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06-17-2008 13:51 From-Oi$ HG SACF,AAMTO W/C 916-845-8910 T-137 P,001/002 F-942 <br /> l� <br /> GOVERNOR'S OFFICE OF E ;Z <br /> 44111P,* SERVICES <br /> Hazardous Materials Spili 1 <br /> DATE: 06/27/2003 RECEIVED BY: CONTROL#: <br /> TIME: 1329 OES- Danielle Bud OES• 08.4575 <br /> OSPR- NRC- <br /> <br /> <br /> <br /> Lb. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE* 4.Ext: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> A <br /> 2.a.SUBSTANCE: eoerrpi bJeaxa,e e.TYPE: d.OTHER <br /> 1, Sealtight Duogard = unknown N/A PETROLEUM <br /> form release agent <br /> 2. <br /> 3. <br /> e.DESCRIPTION: Secondary containment bad a slow leak The location is new construction n0 Ethanol on site at <br /> this time <br /> f.CONTAINED: g.WATER INVOLVED: h.WATERWAY: I.DR'IN'KING WATERll13PACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: Pon of Stockton near entrance to job site <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:06/25/2008 b. TIME (1WMary):1500 e.SITE: Refinery <br /> d. INTURIES# e.FATALS#: L EVACS#: g•CLEANUP BY: <br /> 0 0 0 Contractor <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6, NOTIFICATION INFORMATION: <br /> D.O <br /> �a.ON SCENE: ON SCENE: OTHER NOTIFIED: <br /> Stockton Firs Dept 70, <br /> d.ADMIN.AGENCY: San.lnaquin County Emergency Services e.SEC.AGENCY: <br /> L NOTIFICATION LIST: DOG unit; RWQCB Unit: 5B <br />