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Kimberly Blackwell [EH] <br /> LF <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Thursday,June 11, 2015 11:35 AM <br /> To: Kimberly Blackwell [EHj <br /> Subject: Hazardous Materials Spill Report: Cal OES Control #:15-3286 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 06/11/2015 RECEIVED BY Cal OES: Tim Tribble I Cal OES CNTRL <br /> #:15-3286 <br /> TIME: 1116 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1. NAME: Michael Parissi 2. AGENCY: Carpenter Company <br /> 3. PHONE* 209-982-4800 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. Adhesive (Autlast) / = / 20/Gal(s) /CHEMICAL / / No/ No <br /> ----------------------------------------------------------------- <br /> 2. <br /> ------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------- <br /> g. DESCRIPTION: Per the caller someone discovered a spill of the <br /> adhesive during inspection. <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: 17100S. Harlan Road <br /> b. CITY: Lathrop I c. COUNTY: San Joaquin County I d. ZIP: 95330 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 6/11/2015 1 b. TIME(Military): 1015 1 c. SITE: <br /> Merchant/Business I d. CAUSE: Unknown e. INJURIES: No I f. FATALITY: No g. EVACUATIONS: No h. <br /> CLEANUP BY: Reporting Party <br /> e. INJURIES #: I f. FATALS #: I g. EVACS#: <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a. NAME: Michael Parissi b. AGENCY: Carpenter Company <br /> c. PHONE#: 209-982-4800 d. EXT: <br /> e. MAIL ADDRESS: 17100 S. Harlan Road <br /> t <br />