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Garrett Backus [EH] <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Saturday, January 28, 2017 1:38 PM <br /> To: Garrett Backus [EH] <br /> Subject: Hazardous Materials Spill Report: Cal DES Control#:17-0868 <br /> Please confirm receipt.Thank You, CSWC 916-845-8911 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 01/28/2017 j RECEIVED BY Cal OES: Kristie Jones-Holstrom Cal <br /> 0 E CNTRL#:17-4868 <br /> TIME: 1326 1 RECEIVED BY OSPR: I NRC#: <br /> <br /> <br /> : <br /> 1.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: j 2. AGENCY: <br /> 3. PHONE#: 4. EXT: 1 5. PAGER#: <br /> 2. SUBSTANCE TYPE: <br /> a. SUBSTANCE: 1 b.QTY:/Amount/Measure/c.TYPE/d.OTHER /e. <br /> PIPELINE /f.Vessel Over=> 300 tons <br /> 1. Corrpro/=/150/Galls)/CHEMICAL / No/ No <br /> 2. <br /> 3. <br /> g. DESCRIPTION: The material is an aldacide.The material spilled after <br /> its container fell off of a forklift.The material went on to pavement and was hosed into a storm water drainage ditch. <br /> The storm catchment system is in the process of being dammed to prevent the material from reaching a waterway.The <br /> material has not reached a waterway at this time.A contractor will perform the clean up. <br /> h. CONTAINED: Yes j i.WATER INVOLVED: Unknown <br /> j. WATERWAY: Port of Stocton I k.DRINKING WATER IMPACTED: No <br /> I. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: 3028 Navy Dr. <br /> b. CITY: Stockton I c.COUNTY: San Joaquin County I d. 21P: <br /> 95206 <br /> 4. INCIDENT DESCRIPTION: <br /> 1 <br />