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• O1'-25-2005 08:51 From-OES HQ SV 'SNTO W/C 916-845-8910 T-8026 P 001/C01 F-252 <br /> 3'0',' 16* GOVERN OR'S OFFICE OF E '`. FR!^Y SERVIL�S <br /> a� Hazardous Materials Spill Report <br /> lm:+amv.w�•xcy <br /> )BATE: 01/25/2005 - -- RECEIVED BY CONTROL#: <br /> TIME: 0835 OES- Sibyl Clark OES- 05-0602 <br /> OSPR- NIC- <br /> La. PERSON NOT TYI1'tiC ^OVERNOR'S OES: <br /> 1. NAME: 2. AGLIN C 1: 3. P110NE#: 4.Ext: S.PAG/CELL: <br /> Keitli Vardney 1i1 Heinz,LP 1-209-932-5748 <br /> I.b. PERSON REPORTING SPILL.(If different from <br /> 1. NAME: 2. AGFNCY: 3. PRONE#(: 4.Ext: 5.PAG/CELL- <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:>T< Amount Measure c.TYPE: t1. OTHER: <br /> 1. Sodium Hydroxide 30% = 1125 Gal(s) CtiFMiCAL <br /> solution <br /> 2. <br /> 3. <br /> 4,:. Yr'b'tr.`SC TION: 1,12...111y`r,.� <br /> f.CONTAINED: g.WATER INVOLVED: h.WATERWAY: i. DRINKING WATER VVIPACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: 'El Dorado and California St. <br /> b.CITY: c. COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DL =RIPTION: <br /> a.DATE:01/07/2005 b. TI117E (Military):0845 c.SITE: Industrial Plant <br /> d. INJURIES# e. FATALS#: f.EVACS#: g.CLEANUP BY: <br /> 0 0 0 Responsible Parry <br /> Same as#1."PERSON NOTIFYING OEV" <br /> S. SUSPECTED RESPONSIBLE PARTY.- <br /> _�.--.__ <br /> a.NAME; h* AG>6'YCY— t.PH0111E'#. d EXrT.: <br /> Keith Vardney HJ Heinz,LP 1-209-932-5748 <br /> e.MAIL ADDRESS: L CITY: g. STATE: h.ZIP: <br /> PO Box 57 Stockton CA 95201-3057 <br /> 6. NOTIFICATION INFORMATION: <br /> (a.ON SCENE: b.OTI2,R ON SCENE; c.OTHER NOTIFIED: <br /> Co OES,F1ro Dept_, Other City of Stockton San Joaquin Co, OES, San Joaquin Co. <br /> Health Dept.,City of Stockton Municipal <br /> Utilities. <br /> d.ADMIN.AGENCY: San Joaquin County Emergency Scrvices e.SEC.AGENCY- <br /> f.NOTIFICATION LIIB <br /> ST: DOG Unit: RWQCB U0. 5 <br /> L 1 AA/CUn.� a.USFWS r�DHS-DA L FOOD&AG j._!USlin L FSC" <br /> J DFG-OSPIt MR RESOURCPS DD to DOC El LANDSfr�l PARKS&REC (❑-1�USDOI <br /> L-1 DISC !I CALTRANS t�BB PARKS ❑oRs HAZMATvNrr Ll PUC L OTHth <br /> LJ RWQCB L7(:I]F fL11 SMSA :]ars PL,XNC t.NfT <br /> Ej US PA ❑CO AsTAJ_COM J FEMA 71 OHS REG W KMS <br />