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COBAWI2KA
EnvironmentalHealth
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2500 – Emergency Response Program
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COBAWI2KA
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Last modified
4/15/2020 9:43:45 AM
Creation date
2/8/2019 7:47:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COBAWI2KA
PE
2546
FACILITY_NAME
ARCO
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
ENTERED_DATE
8/30/2016 12:00:00 AM
SITE_LOCATION
85 E Louise Avenue, Lathrop, CA
RECEIVED_DATE
8/26/2016 12:00:00 AM
QC Status
Approved
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FilePath
\MIGRATIONS\L\LOUISE\85\COBAWI2KA .PDF
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EHD - Public
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Kimberly Blackwell [EH] <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Friday, August 26, 2016 5:06 PM <br /> To: Kimberly Blackwell [EH] <br /> Subject: Hazardous Materials Spill Report: Cal OES Control #:16-5207 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 08/26/2016 1 RECEIVED BY Cal OES: Jennifer Gordon Cal OES <br /> CNTRL#:16-5207 <br /> TIME: 1703 1 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1. NAME: Sarah Samuels 2. AGENCY: BP <br /> 3. PHONE#: 360-255-9743 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: I 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. Gasoline/=/10/Oz./ PETROLEUM/ /No/No <br /> ------------------------------------------------------------------- <br /> 2. <br /> ------------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------------- <br /> g. DESCRIPTION: RP states: Customer top off resulting in the release of <br /> 10 oz of gasoline to the pavement. Release is contained and no longer releasing. No waterways impacted. Service <br /> station personnel conducted clean up. <br /> h. CONTAINED: Yes i.WATER INVOLVED: No <br /> j. WATERWAY: n/a k. DRINKING WATER IMPACTED: No <br /> I. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: 85 E. Louise Ave <br /> b. CITY: Lathrop I c. COUNTY: San Joaquin County I d.ZIP: <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 8/26/2016 1 b.TIME(Military): 1015 1 c.SITE: Service Station d. CAUSE: Human Error e. INJURIES: No <br /> f. FATALITY: No I g. EVACUATIONS: No I h. <br /> 1 <br />
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