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07-27-2006 10:82 From-OES HO SACRANENTO W/C 916-845-8910 T-889 P.001/001 41l <br /> GOVERNOR'S OFFICE OF EMERG <br /> SERVICES <br /> Hazardous Materials Spill <br /> DATE: 07/27/2008 RECEIVED BY. CONTROL#: z <br /> TIME: 1013 OES. Courtland Ellis OES- 08-5470 <br /> OSPR- NRC,. <br /> I.a. PERSON NOTIFYING GOVERNOR'S OES: <br /> 1. NAME: 2. AGENCY; <br /> 3. PHONE#: 4.Fact: S.PAG/CELL: <br /> Mike Spence Villagc West Marina 209-951-1551 <br /> Lb. PERSON REPORTING SPILL(If different from above): <br /> I. NAME: ' 2. AGENCY: 3. PHONE#: 4.Eget: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.OTY:>=< Arnounr Measure c.TYPE: d.OTHER- <br /> 1.Gasoline = UNK Sheen PETROLEUM 300 x 18 <br /> inclles sheen <br /> size <br /> 2. — <br /> 3. _ <br /> e.DESCRIPTION: Boat sank during the night for unknown reasons booms have been deployed around the boat <br /> to contain the spill <br /> L CONTAINED: g.WATER INVOLVED: It.WATERWAY: 1.DRINKING WATER IMPACTED <br /> Yes Yes San Joaquin River No <br /> 3. a.INCIDENT LOCATION. 6649 Embarcadero Dr slip#I-22 t <br /> b.CITY: c.COUNTY: d.LIP: <br /> Stockton San Joaquin County 95219 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: 07/27/2008 b. TIME (Military):0830 M SIVE: Waterways <br /> d. INJURIES# e.FATALS#: L EVACS#: g.CLEANUP BY; <br /> 0 0 0 Contractor <br /> • ' $arae as#7."PERSON NOTIFYING OSS" <br /> S. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.)EXT.: <br /> James Chappcl MIV Debra Lynn 209-463-3576 <br /> e.MAIL ADDRESS: f.CITY: g.STATE. h. 'LIP: <br /> 243 North Oro Ave Stock-ton CA 95205 <br /> 6. NOTT ICATION INFORMATION: <br /> i.ON SCENE: b. OTHER ON SCENE: c.OTHER NOTATED: <br /> d.ADMIN.AGENCY: San Joaquin County Ernergeocy Services e.SEC.AGENCY: <br /> f NOTIFICATION LIST: DOC unit. RWQCn U111t: 5a <br /> L v ICUPn d"'WS ET <br /> DHS-0.0. U osT[A <br /> rI ..r❑p FOOD 9 nG EIS 1f US CO <br /> Zp. DFG-05PR U AIR Kbh OU RCES DD F!000 ^_!t KO3 �PARKS$RLC LrJUSDOt <br /> r2�1 DTSC U GALTRnNS �L'JI Ba PARKS U OES IfAZMATUNrf ❑PLIC LJ QTHER <br /> L��I1 RWQCE P❑p��S CDF LJ FMSA ❑_oEs PL Ns UNn L I Spm <br /> E US r'AA U COASTAL(:QM �_1 rnm& U oes REG USMMS <br />