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Page 2 of 2 <br /> f. CONTAINED: Yes t g. WATER INVOLVED: No <br /> h. WATERWAY: On site retention pond I L DRINKING WATER IMPACTED: <br /> No <br /> j. KNOWN IMPACT: <br /> 3.a. INCIDENT LOCATION: 19690 North Hwy 99 <br /> b. CITY: Acampo I c. COUNTY: San Joaquin County j d. ZIP: 95220 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 12/18/2009 1 b. TIME(Military): 1600 1 c. SITE: Residence <br /> { d.CAUSE: Blockage <br /> e. INJURIED: No ( f. FATALITY: No I g. EVACUATIONS: No I h. <br /> CLEANUP BY: Contractor <br /> e. INJURIED #: I f. FATALS #: I g. EVACS #: <br /> S. SUSPECTED RESPONSIBLE PARTY: <br /> a. NAME: Victor Secheslingloss I b. AGENCY: Arbor Mobile Home Park <br /> On-Site Manager <br /> c. PHONE#: 209-329-7839 1 d. EXT: <br /> e. MAIL ADDRESS: 19690 North Hwy 99 <br /> f. CITY: Acampo I g. STATE: CA h. ZIP: 95220 <br /> 6. NOTIFICATION INFORMATION: <br /> a. ON SCENE: Victor Secheslingloss b. OTHER ON SCENE: Arbor <br /> Mobile Home Park On-Site Manager <br /> c. OTHER NOTIFIED: RWQCB, County Health d. ADMIN. AGENCY: San Joaquin County Emergency <br /> Services e. SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g. ADMIN. AGENCY: <br /> h. NOTIFICATION LIST: DOG Unit: f RWQCB Unit: 5B <br /> AA/CUPA, DFG-OSPR, DTSC, RWQCB, US EPA, USFWS 0 <br /> Created by Warning Center on 12/21/2009 2:10:47 PM Last <br /> Modified by Warning Center on 12/21/2009 2:17:23 PM <br /> California State Warning Center <br /> Califom€a Emergency Management Agency <br /> Phone: (916)845-8911 <br /> Waming.Center@oes.ca.gov <br /> https://webmail.hs.co.san-joaquin.ca.us/exchanee/GOliveirano lurp-hil r-r1M/Tnhnv/TMr•oi')n V)PI1 1'7nnn <br />