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From:Ca! EMA (State Warning P ter) 9168458910 05/x'2010 16:384'� 1 <br /> California Emergency Management Agency <br /> Hazardous Materials Spill Repo <br /> DATE: 05/04/2010 RECEIVED BY: CONTROL#: <br /> TIME: 1622 Cal EMA- Ruben Rodriguez Cal EMA- 10-2789 <br /> OSPR- NRC- � . <br /> l.a. PERSON NOTIFYING Cal EMA: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL.- <br /> Mike <br /> AG/CELL:Mike Covey Covey Auto Express 209-464-0016 209-993-429$ <br /> 1.b. 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:ra Amount Afeasure C.TYPE: d.OTHER: <br /> 1.Diesel and Motor Oil = UNK Gal(s) PETROLEUM <br /> 3. - <br /> e.DESC'IDPTION: A Ere on the premises- as the cause of this release. Two vehicles caught fire. Fire <br /> suppressant was used to put out the fire,and washed an unknown amount of the release down <br /> a nearby storm drain. <br /> f.CONTAINED: g.WATER h.WATERWAY: i.DRINIUNG WATER IMPACTED <br /> INVOLVED: <br /> Yes NO Storm Drain/contained at No <br /> retention pond/being <br /> cleaned-up <br /> �.KNOWN E%IPACT <br /> 3. a.INCIDENT LOCATION: 1.444 El Pinal Drive <br /> b.CITY: c.COUNTY: d.ZIP- <br /> stock-toll San Joaquin County 95205 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. T114E (milvary)_ c.SITE: d. CAUSE <br /> 05/04/2010 1000 1\2erchant'13usiness Other <br /> Description for Other:Fire run-off <br /> P. IN.1(11R1FS f. I'A 1'MA FY g..E VAC 4 !k1'10N 19.CL'''AW P'By., <br /> Contractor <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Mike Covey Covey Auto Express 209-464-0016 <br /> e.MAIL ADDRESS: f:CITY: g.STATE: h.ZIP: <br /> 1444 El Pinal Drive Stock-ton CA 95205 <br /> 6. NOTIFICATION INFORMATION: <br /> la.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> C"o health,Fire Dept.,Other County Ha7AIat <br /> d.ADMIN.AGENCY: San Joaquin County e.SEC.AGENCY: <br /> Elnergcncy Services <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> 0�p <br /> AAJCUPA N USFWS [-I El MLA MIA Ca]EMAREO ❑Ushoa ElOTM5R <br /> O PFR-OSPR ❑AIR RESOURCES BD ❑DOG ❑FOOD&AO ❑OSHA ❑USCG <br /> I R DISC ❑CAmRANs ❑DPR ❑LANDS ❑PARKS&REC ❑CoAVP <br /> N RWQCB ❑CDF ❑EB PARKS ❑Cal 124AFEAZMAlUNTT❑PUC ❑C./ath <br /> NUS EPA ❑COASTAL COM ElEMSA ❑Cel EMAPLANS UNTr ❑SFM ❑CoT Mth <br /> �i arBlrsg.rc,�►ter,rsoes.ca.guv,R9-22RC@_)EP'A.1 0V.:DTSC.Eidfa ma11xona <br />