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� <br /> Kimberly Blackwell [EH] (�X�` r <br /> From: Warning Center[blaming.Center@ops.calema.ca.gov] <br /> Sent: Thursday, December 13, 2012 12:49 PM <br /> To: Kimberly Blackwell[EH] <br /> Subject: Hazardous Materials Spill Report: Cal EMA Control#:12-7618 <br /> California Emergency Management Agency <br /> Hazardous Materials Spill Report <br /> DATE: 12/13/2012 [ RECEIVED BY Cal EMA: Ronald Demayo Cal EMA <br /> CNTRL#:12-7618 <br /> TIME: 1241 J RECEIVED BY OSPR: J NRC#: <br /> 1.a. PERSON NOTIFYING Cal EMA <br /> 1. NAME: David Ray [ 2. AGENCY: Williams Tank Lines <br /> 3. PHONE M 209-944-5613 1 4. EXT: 38 1 5. PAGER* <br /> 209-649-0318 <br /> 1.15. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: <br /> 3. PHONE #: 4. EXT: 5. PAGER#: <br /> 2. SUBSTANCE TYPE: <br /> a. SUBSTANCE: /b.QTY: /Amount/Measure/ c. TYPE /d. OTHER ! e. <br /> PIPELINE /f. Vessel Over=> 300 tons <br /> 1. Gasoline! _/ 15/ Gal(s) / PETROLEUM / / No/ No <br /> -------------------------------------------------- <br /> 2. <br /> ----------------------------------------------------- <br /> 3. <br /> g. DESCRIPTION: Caller states a fitting on a tanker truck was not <br /> hooked up to an underground tank when the driver opened up the valve which resulted in the release of <br /> substance onto asphalt and concrete. The valve was immediately closed and on-site personnel performed <br /> clean up. <br /> h. CONTAINED: Yes [ i. WATER INVOLVED: No <br /> j. WATERWAY: I k. DRINKING WATER IMPACTED: <br /> I. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: 116 Roth Road, Fast Lane Gas Station <br /> b. CITY: Lathrop I c. COUNTY: San Joaquin County I d. ZIP: 95330 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 12/13/2012 J b. TIME(Military): 0800 [ c. SITE: Service Station I d. CAUSE: Human Error e. <br /> INJURIES: No [ f. FATALITY: No I g. EVACUATIONS: No J h. <br /> CLEANUP BY: Reporting Party <br /> e. INJURIES* I f. FATALS#: [ g. EVACS #: <br /> i <br />