Laserfiche WebLink
Kimberly Blackwell LEHI <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Saturday, October 24, 2015 12:51 AM <br /> To: Kimberly Blackwell [EHI <br /> Subject: Hazardous Materials Spill Report: Cal OES Control #:15-6290 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 10/24/2015 RECEIVED BY Cal OES: Blake Tyson I Cal OES CNTRL <br /> #:15-6290 <br /> TIME: 0045 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1 NAME: Mike Hyllen 1 2. AGENCY: Super Store Industries <br /> 3 PHONE #: 209-858-3371 1 4. EXT: 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. Fuel - Diesel / = / 5-7 / Gal(s) / PETROLEUM / / No / No <br /> ------------------------------------------------------------------ <br /> 2. <br /> ------------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------------- <br /> g. DESCRIPTION: Refrigerated trailer collapsed damaging the fuel tank <br /> causing the release, material flowed onto asphalt, RP handled containment and clean up. <br /> h. CONTAINED: Yes I i. WATER INVOLVED: No <br /> J. WATERWAY: I k. DRINKING WATER IMPACTED: <br /> I. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: 2400 Louise Ave <br /> b CITY: Lathrop I c. COUNTY: San Joaquin County I d. ZIP: 95330 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 10/24/2015 1 b. TIME(Military): 0040 1 c. SITE: <br /> Merchant/Business I d. CAUSE: Mechanical e. INJURIES: No I f. FATALITY: No g. EVACUATIONS: No h. <br /> CLEANUP BY: Reporting Party <br /> e. INJURIES #: I f. FATALS #: g. EVACS #: <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a. NAME: Mike Hyllen I b. AGENCY: Super Store Industries <br /> c. PHONE#: 209-858-3371 1 d. EXT: <br /> e. MAIL ADDRESS: 2400 Louise Ave <br /> i <br />