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5/2/2019 Hazardous Materials Spill Report-18-4009 <br /> Governor's Office Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE:06/19/2018 RECEIVED BY: CONTROL#: <br /> TIME: 0938 Cal OES-18-4009 <br /> NRC - <br /> La. PERSON NOTIFYING Cal OES: <br /> 1. NAME: 2.AGENCY: 3. PHONE#: 4. Ext: 5. PAG/CELL: <br /> Broadbent and Associates <br /> I.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4. Ext: 5. PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a. b.QTY.>=Amount Measure c.TYPE: d.OTHER: e.PIPELINE f.VESSEL <br /> SUBSTANCE: < >=300 Tons <br /> 1. Waste Oil = 5 Gal(s) PETROLEUM No No <br /> 2. = No No <br /> 3. = No Yes <br /> g. DESCRIPTION: RP states that 5 gallons of waste oil spilled out of a truck into the pavement <br /> and into a storm drain that has a catch basin. Cause is unknown. The release is <br /> stopped and contained. A storm drain leading into an onsite retention pond was <br /> impacted, and they were able to recover the release. <br /> h. i. WATER j. WATERWAY: k. DRINKING WATER <br /> STOPPAGE/CONTAINMENT:INVOLVED: IMPACTED <br /> Stopped, Contained Yes Storm drain No <br /> 1. KNOWN IMPACT None <br /> 3. a. INCIDENT LOCATION: 15100 Thornton Rd. <br /> b. CITY: c. COUNTY: d. ZIP: <br /> Lodi San Joaquin County 95242 SAN JOAQUIN VALLEY <br /> UNIFIED APCD <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: b. TIME (Military): c. SITE: d. REPORTED CAUSE <br /> 06/19/2018 0900 Other Unknown <br /> Description for Other <br /> Trucking station <br /> e. INJURIES f.FATALITY g. EVACUATION h. CLEANUP BY. <br /> No No No Contractor <br /> 6. NOTIFICATION INFORMATION: <br /> a. ON SCENE: b. OTHER ON SCENE: c. OTHER NOTIFIED: <br /> d. ADMIN. AGENCY. San Joaquin County e. SEC. AGENCY: <br /> Environmental Health <br /> f. ADDITIONAL COUNTY: g.ADMIN. AGENCY: <br /> h. NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: <br /> 5B <br /> AA,/CUPA DTSC RW CB US EPA USFWS DFG-OSPR,LANDS PARKS&REC Co/Hlth Co/E-Hlth <br /> Photo Attachment: <br /> ********* Control No: 18-4009 <br /> Created by:Warning Center on:06/19/2018 09:38:03 AM Last Modified by: Warning Center on:06/19/2018 10:01:57 AM <br /> hftps://w3.Galema.r-a.gov/operational/malhaz.nsf/f 1841 a 103c102734882563e200760c4a/f4650a441ec16340882582b1005b5fdb?OpenDocument 111 <br />