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California Emergency Management Agency <br /> Hazardous Materials Spill Report <br /> DATE: 02/22/2011 RECEIVED BY: CONTROL#: <br /> TIME: 1707 Cal EMA- 11-1092 <br /> NRC - <br /> La. PERSON NOTIFYING Cal EMA: <br /> 1.NAME: 2.AGENCY: 3. PHONE#: 4. Ext: 5. PAG/CELL: <br /> PG&E <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. Mineral Oil/ 268 = 1-5 Gal(s) PETROLEUM No <br /> ppm PCB <br /> 2. - No <br /> 3. = No <br /> e. DESCRIPTION: An older pole-top transformer malfunctioned causing this release to asphalt, concrete, <br /> and dirt in the parking lot. <br /> f. CONTAINED: g. WATER h.WATERWAY: i.DRINKING WATER <br /> INVOLVED: IMPACTED <br /> Yes No <br /> j. KNOWN <br /> 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 /> 02/21/2011 0959 Industrial Plant Other <br /> Description for Other : Equipment <br /> failure <br /> e. INJURIES f. FATALITY g. EVACUATION h. CLEANUP BY: <br /> No No No Contractor <br /> 6. NOTIFICATION INFORMATION: <br /> a. ON SCENE: b. OTHER ON SCENE: c. OTHER NOTIFIED: <br /> County OES and ENV Health <br /> d. ADMIN. AGENCY: San Joaquin County Emergency Services e. SEC. AGENCY: <br /> f.ADDITIONAL COUNTY: g.ADMIN. AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> AAICUPA,Df&OSPR,DTSC,RWQCB,US EPA,USFWS <br /> CONFIRMATION <br /> REQUEST: <br /> nV'-r .. G � <br /> ********* Control NCO: 11-109 ********* <br /> �s0 �i✓� r tSe `b JOA vp 6 l. "F <br /> Created by: Warning Center on: 02/22/2011 05:07:46 PM Last Modified by. Warning Center on: 02/22/201105:10:44 PM <br /> vl^ff' O"Z-e + WA-e' -� -P66 4 <br /> Pct e VLA 1� dAk V� S`� � &--wk-,,Q- s64 � w+u �� -�• <br /> http://www.oes.ca.gov/operational/malhaz.nsf/fl 841 a103c 102734882563e200760c4a/2da6ce7fc3afd4628825784000063466?OpenDocunzent <br />