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•— Yf-2008 10:04 From-DES HQ SACRAMENTO W/C 916-845-8910 T-012 P.001/00 62 S <br /> GOVERNOR'S OFFICE OF EMERG <br /> 1 � SERVICES <br /> Hazardous Materials Spill <br /> DATE: 06/27/2408 RECEIVED B'Y: CONTROL#: <br /> TIME: 1329 OES,- ' Danielle Bird OES_ -M <br /> �.�% <br /> 4SPR- NRC- O <br /> 1.a. PERSON NOTIFYING GOVERNOR'S UES. <br /> L NAME: 2. AGENCY: 3. PHONE#: <br /> Kelly Durrer Lyles Mechanical Co 559-994-8342 4.Ext' 5.PAG/CES" f <br /> Lb. PERSON <br /> REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: S.PAGICELL: <br /> z. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:>=< AltiounY Measure <br /> 1. Sealtight Duogard = unlmown NIA c.TYPE: d.OTHER: <br /> form relcase agent PETROLEUM <br /> 2. - <br /> 3. <br /> e,DESCRIPTION: Secondary containment had a Slow leak Tho location is novo Cons <br /> this time lruettan no Ethanol on site at <br /> f.CONTAMD: g.WATER INVOLVED: b.WATERWAY: i.DRINIUNG WATER IMPACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: Port of Stockton near entrance ro job site <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a-DATE:06/25/2008 b. TIME (Mllirary).•1500 C.SITE. Refinery <br /> d. INJURIES# c.FATALS#: &EVACS#: .CLEANUP BY: <br /> 0 0 Contractor <br /> Same as#1.-PERSON N.OTIFYING OES-1 <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a•NAME: b. AGENCY: c.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 135206 <br /> 6. NOTIFICATION INFORMATION: <br /> f a. ON SCENE: b.O'T'HER ON SCENE: c.OTHER NOTITI;IiD: <br /> Stockton Fire Dept 10, <br /> d.ADMIN.AGENCY: Sun Joaquin Coway Smrrgcncy Services e.SEC.AGENCY: <br /> f.NOCTIFICATION LIST, DOG Unit: f RWQCg Unit: 513 <br /> pl!,j AA/CUPA L�-T"J'�179PWS L...�DF35-D.o ❑FOOt"42 AG OSFLt u USCG . <br /> lJ DFG-0SPR + AiRpxsauRCf:S HD U Hoer ❑LANDS Imo!PARKS @ RAC ❑wpol <br /> (D n7'SC �L_Jf C.r1LTRANS CI Ali Pn&sCS ❑DES H.+ZbtgTUM7' ❑YUC ❑OTtl1?K <br /> RWQCo U CCF ��EMS" ❑ONS PLANS UNH' ❑SFM <br /> .ii tCJ US 2PA ❑COASTAL COM PUMA ❑DES REO ❑FSMAi9 <br />