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05/29/03 12:20 FAX 2098243554 DELICATO PURCHAS10 2 <br /> EVED <br /> i EMERGENCY RELEASE FOLLOW-UP NOTICE RFPORTING FORM MAY 2 9 2003 <br /> susD4EssNAME z« FACQ. &%IE RGENCYCONTACraPHONENgM9ER VUUdIY <br /> AMMOF A DELI AATO VINEYARDS 1 Rick Enos (209 )824-3480 NCY$EflVICE <br /> ". INCIDENT MO DAY YR TIME DES <br /> 9 DATE 5 0 5 N OTlm 2 2 5 (�2t hr ) CONTROL NO b1314612b <br /> INCIDENT - CITY/COMMUNrrY COUNTY ZIP <br /> C Ammonia Release Manteca San Joaquin 95336 <br /> CHEMICAL OR TRADE NAME(print m uype) w CAS Number <br /> Anhydrous Ammonia 7664-41-7 <br /> CHECK IF CHEMICAL IS LISTED IN CHECK IF RELEASE REQUUM NOTIFICATION <br /> 40 CFR 755.APPENDDC A ® "' UNDER 42 US-C 9 9603(.) ❑ <br /> PHYSICAL SPATE CONTAINED I PHYSICAL STATERELEASED QUANTITYRES-ASED <br /> ❑ SOLID ® LIQUID ❑ GAS ❑ SOLID ❑ LIQUID 0 GAS 35 lbs. <br /> ENvmoNI.ffNCAL CONTAMINATIONTIME OF RELEASE DURATION OF RELEASE <br /> ® Ant ❑ WATER❑ GROUND ❑ OITtt"R q22: 15 DAYS_ HOURS 20 MIYU'fFS <br /> ACTIONS TAKEN <br /> The release was noticed immediately by cellar crews working in the area. The <br /> Emergency Response team was called into action and they soon found the source <br /> E of the leaks. Three jacket drain valves were left open, and the opening <br /> ' of a solenoid an one of the jackets caused a few gallons of liquid to flash <br /> into the lines, coming out as gas. The ER team suited up in SCBA's and <br /> went in and closed the valves. The release stopped immediately. <br /> KNOWN OR ANTICIPATED HEALTH EFFECTS(Use the commmu action for addiuo"mfo=a ) <br /> ❑ ACUTE OR IMMMIATE(explain) N <br /> ❑ICH&ONIC OR DELAYED(explain) N/A <br /> F <br /> - ❑ NOT KNoWN(..Pk.) <br /> ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS <br /> G N/A <br /> COMMENTS INDICATE SECTION(A-G)AND ITEM WITH COMMENTS OR ADDITIONAL LNFOP-MATION <br /> 911 was called by 22:20. Manteca Lathrop Fire Department showed up about the <br /> H -- time the release stopped, and took no action. Rick called the OES # at 22:25 <br /> . . but was referred to the Sheriff's Department, which he called and reported <br /> the release. That night the release was reported to MLFD, S.W.C. & N.R.C. as <br /> CERTIFICATION= 1!=b certify under=of law dm I have penouany eramieed and I=familiar with the <br /> mformatloo submiaad ao�be(ieve the submitted iafataestioa is tme,osmate,end coagulate. <br /> REPORTING FACMXTYREPRESENTATIVE(primmtype) Rick En <br /> I r. <br /> SIGNATURE OF REPORTING FACILITY REPRESENTATIVE f I Kff DATE 5/29/03 <br /> Y <br /> * 100 lbs. last. Actual quantity lost was 35 lbs. <br />