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From:0E5 10120/2008 12 :35 #267 P.0011001 <br /> GOVERNOR'S OFFICE OF � <br /> SERVICES <br /> Hazardous Materials p or t D <br /> F)iM:Sft)�X2+=UR <br /> DATE: 10/20,12008 RECEIVED BY: CONTROL#: <br /> TIME: 12709 OES- Rubcn Rodriguez CIES- 465-7554 <br /> OSPR- NRC:- <br /> ci <br /> La. PERSON NOTIFYING GOVERNOR'S OES: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAGICELL: <br /> Debra White Village West Marina 209-951-1551 <br /> 1.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: i <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:>=c Amount Measure c.TYPE: d.OTHER: <br /> 1.Boat Sinking/ = 13'\36' Sheen PETROLEUM <br /> Unkno«m Amount <br /> 2. <br /> 3. a = <br /> e.DESC'.:€I-P,110NA <br /> : house boat has sunt:.. Caller states bornr;s have been applied to contain the release. <br /> f. CONTAINED: g.WATER INVOLVED: h.IvVATERWAY: i.DRINKING WATER EU PACTED <br /> Yes yes Deep Water Channel I San No <br /> Joaquin River <br /> 3. a.INCIDENT LOCATION: 6649 Embarcadero Drive } <br /> b.CITY: c. COUNTY: d.ZIP: <br /> Stockton San Joaquin County 95219 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: 10/20i2008 b. TIME (Military).-1030 C.SITE: Ship/Harbor!'Port <br /> d. 1t JU-fUESrr c. ISIY'I'ALS#: 9. E-V,'+XS r,. g. C'.J,EA1N-4;T.P BY: <br /> 0 (? 0 Responsible Party <br /> Same as#1."PERSON NOTIFYING OES" <br /> ------------------------------------- <br /> •--------------- <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Nancy Browning Citizen 209-467-1222 <br /> e.MAIL ADDRESS: f. CITY: g. STATE: h.ZIP: <br /> 1227 Uountry Club Blvd Stockton CA 95204 <br /> 6. NOTIFICATION INFORMATION: <br /> Ia.ON SCENE: b. OTHER ON SCENE: c. OTHER NOTIFIED: <br /> LJSGG <br /> d.ADMIN.AGENCY: San.Toagjin Comuy Fmcinenr-y Services e. SEC.AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit: RWQCB Unit: 5B <br /> N A4 ICUP, ®7 JS ❑CGFH-D. ❑Fran-% ❑OY_RIX; ❑T:SNS,4s ❑O:'HER <br /> N DF@-0?S IR ❑AIF RESOfIkCF.>1,D❑D00 ❑FOOD C AG ❑01iaA N tM: 01 <br /> I ®[[.D-:':C ❑C.ST.7P.,�7:: ElDP-c M LANDS ®PARY,&RE17 ❑Ca!-,wp <br /> I� 0 w.Q. El'ET ❑EB-ARK!3 ElJF..S fLS:;?.(A:fm,;r, ElPuc El <br /> f ®U8 LII N COAs ITI G`M E3 F4.QSn ❑.)M;'LAM UNTf ❑SYM ❑C::r'.Hlth <br /> t <br />