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Kimberly Blackwell [EH] <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Tuesday, January 20, 2015 2:04 PM <br /> To: Kimberly Blackwell [EH] <br /> Subject: Hazardous Materials Spill Report: Cal OES Control #;15-0366 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 01/20/2015 RECEIVED BY Cal OES: Bradley Ahlm I Cal OES CNTRL <br /> #:15-0366 <br /> TIME: 1400 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1. NAME: RobertLopez 1 2. AGENCY: San Joaquin County <br /> Environmental Health <br /> 3. PHONE #: 209-815-2985 1 4. EXT: 1 5. PAGER #: <br /> 1.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: <br /> 3. PHONE #: 4. EXT: 1 5. PAGER #: <br /> 2. SUBSTANCE TYPE: <br /> a. SUBSTANCE: / b.QTY: /Amount / Measure / c. TYPE / d. OTHER / e. <br /> PIPELINE / f. Vessel Over => 300 tons <br /> 1. dumping of sealed paint containers / _ / 50 / N/A / OTHER / dumping of sealed paint containers / No / No <br /> ------------------------------------------------------------------- <br /> 2. <br /> ------------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------------- <br /> g. DESCRIPTION: RP states that 50 paint containers have been dumped on <br /> the roadside. There was no release from the containers. <br /> h. CONTAINED: Yes I i. WATER INVOLVED: No <br /> j. WATERWAY: I k. DRINKING WATER IMPACTED: No <br /> I. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: East side of Jacktone Rd 2/10 mi south of <br /> Comstock Rd. <br /> b. CITY: Unincorporated county area San Joaquin I c. COUNTY: San <br /> Joaquin County I d. ZIP: 95215 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 1/20/2015 1 b. TIME(Military): 1000 1 c. SITE: Road I d. CAUSE: Unknown e. INJURIES: Unknown <br /> f. FATALITY: No I g. EVACUATIONS: No I h. <br /> CLEANUP BY: Reporting Party <br /> e. INJURIES #: I f. FATALS #: g. EVACS #: <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> i <br />