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d 06 27-20PB 13:51 From-OES HQ SA MENTO W/C 916-845-8910 T-137 P-001/002 f-942 <br /> 0.� GOVERNOR'S OFFICE OF ECM;YiZ D <br /> ' * SERVICES <br /> �. � Hazardous Materials Spill <br /> - <br /> DATE: 06/27/2008 RECEIVED BY: CONTROL#: <br /> TIME- 1329 OES- Danielle Bird OES- 0&•4575 <br /> QSPR_ INRC- <br /> 1.0, <br /> PERSON NOTIFYING GOV'ERNOR'S OES: <br /> 1. NAME: Z. AGENCY: 3. PHONE-#. <br /> Kelly <br /> 5.PAGICELI.: <br /> Kelly Durrer Lyle's Mechanical Co 559-994-8342 <br /> l.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: Z. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL,: <br /> 2. SCIBSTANCE TYPE: <br /> x.a.SUBSTANCE: b.QTY:>=� Amount MeasuM c.TYPE: d.OTHER- <br /> 2. <br /> Sealbght Duogard = unlcr<own N/A PETROLEUM <br /> form release agent <br /> 2. _ <br /> 3. - <br /> e,DESCRIPTION: Secondary containment had a slow leak The location is new construction no Ethanol on site ar <br /> this time <br /> f.CONTAINED: g.WATER INVOLVED: b-WATERWAY; i.DRINIC NG WATER IMPACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: Port of Stockton near entrance to job site <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:06/2512008 b. TIME (Military),1500 c.SITE. Refinery <br /> d. INJURIES# e.FATALS#: f.EVACS#: g.CLEANUP BY: <br /> 0 0 0 Contractor <br /> Same as#�,VERSO_N NOTIFYING.OEF 1 <br /> S. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: t.PHONE#: d.EXT.; <br /> Lyle's Mechanical Company 559-994-8342 <br /> e.MAIL ADDRESS: f.CITY: g.STATE: h.ZIP: <br /> 3028 Navy Dr Stockton CA 95206 <br /> 6. NOTIFICATION INFORMATION: <br /> �a.ON SCENE; b.OTHER ON SCENE: c.OTHER NOTIFIED; <br /> Stocktou Fire Dept 10, <br /> d.ADMIN.AGENCY: San inaquin County 1=tnersonny Servisc.s e.SEC.AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit: RWQCR Univ. 5D <br />