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From:Cal EMA (State Warning Center) 9168458910 02/22/2011 17:17 #2 4 P.001/002 <br /> �i <br /> California Emergency Management Agenc <br /> Hazardous Materials Spill Repo <br /> DATE: 02/22/2011 RECEIVED BY: CONTROL#: O <br /> TIME: 1707 Cal EMA- Ruben Rodriguez Cal EMA. 11-1092 O <br /> OSPR - NRC- <br /> La. PERSON NOTIFYING Cal EMA: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: <br /> Alex Steele PG&E 209-337-8902 209-736-6426 <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 /> 2.a.SUBSTANCE: b.QTY: Amount Measure c,TYPE: d.OTHER: e. VESSEL <br /> >=< >=300 Tons <br /> 1.lvlineral Oil/268 = 1-5 Gal(s) PETROLEUlv1 0 Yes 0 No <br /> ppm PCIS <br /> 2. = 0 Yes • No <br /> 3. = 0 Yes ♦ No <br /> s. <br /> DES('R)PTI ON: An older pole-top.transformer malfunctioned causing this release to asphalt,concrete,and <br /> dirt in the parking lot. <br /> f.CONTAINED: g.WATER h.WATERWAY: i.DRLNVKING`NATER IMPACTED <br /> INVOLVED: <br /> Yes No <br /> j.KNOWN IMPACT <br /> 3. a.INCIDENT LOCATION: 124 North E Street <br /> b. CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. TIME (Military): c.SITE: d. CAUSE <br /> 02i,)1%2011 0959 Industrial Plant Other <br /> Description for Other:Equipment <br /> failure <br /> e. IN-IJUIdES f.FATALITY g. E'€'A CC'ATI.0N h. CLEA_'-N -P BY, <br /> 0 Yes 9 No 0 Yes *No 0 Yes *No Contractor <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Alex Steele PG&E 209-337-8902 <br /> e.MAIL ADDRESS: f.CITY: g.STATE: h.ZIP: <br /> 1 l 08 Murphy's Grade R.d Angel's Camp CA 95232 <br /> 6. NOTIFICATION INFORMATION: <br /> Ia.ON SCENE: b.OTHER ON SCENE: c. OTHER NOTIFIED: <br /> County OES and EN7V Health <br /> d.ADMIN.AGENCY: San Joaquin County e.SEC.AGENCY: <br /> Emergency Services <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> ®AA/CUPA ®USFWS ❑CDPH-D.O. ❑FEMA ❑Cal EMAREG ❑USMMS ❑OTHER <br /> ®DFG-OSPR ❑AIR RESOURCES BD ❑DOG ❑FOOD&AG ❑OSHA ❑USCG ❑DFG/OSPR/MSU <br /> ®DTSC ❑CALTRANS ❑DPR ❑LANDS ❑PARKS&REC ❑Co/WP <br /> M RWQCB ❑CDF ❑EB PARKS ❑Cai EMA HAZMATUNrr❑PUC ❑COMM <br /> M US EPA ❑COASTAL COM ❑EMSA ❑Cal EMA PLANS UNrr ❑SFM ❑Co/E.Hlth <br /> CONFIDENTIAL <br /> REINWZ.KS: <br /> Warn3rrg.c enter`a opsxalemaxa.gov:R9.RRC QEI'A.GOV:D 1 SC.R• d mai3.com <br />