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Kimberly Blackwell [EH] o <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Wednesday, June 24, 2015 11:44 AM <br /> To: Kimberly Blackwell [EH] <br /> Subject: Hazardous Materials Spill Report: Cal CES Control #:15-3573 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 06/24/2015 RECEIVED BY Cal OES: Michael Pace Cal OES CNTRL <br /> #:15-3573 <br /> TIME: 1138 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1 NAME: Michael Parissa 2. AGENCY: Carpenter <br /> 3 PHONE # 209-982-4800 4. EXT: I 5. PAGER #: <br /> 1.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: <br /> 3. PHONE #: 4. EXT: 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. Richadh Adhesive / = / 2 / Gal(s) / CHEMICAL ! / No / No <br /> ------------------------------------------------------------------- <br /> 2. <br /> ------------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------------- <br /> g. DESCRIPTION: RP stated, they believe a faulty spray valve may have <br /> been the cause of 2 gallons of Richadh Adhesive onto the ground. The release is contained and cleanup is underway. <br /> No waterways have been impacted. <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: 17100 S Harlan Rd <br /> b. CITY Lathrop I c. COUNTY San Joaquin County I d. ZIP: 95330 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 6/24/2015 1 b. TIME(Military): 0930 c. SITE: Road d. CAUSE: Mechanical e. INJURIES: No f. <br /> 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 /> a. NAME: Unknown I b. AGENCY: <br /> c PHONE#: d. EXT: <br /> i <br />