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1I-q4-.2000 09:29 From-Cal EIAlk Sacramento 916-845-891 T-971 P. 1 ' <br /> Calfforrila Emergency Management <br /> Hazardous Materials Spill Re n <br /> DATE: 11/04/2009 RECEIVED RY! CONTROU. <br /> TIM: 0803 Cal EEA- Bob Mcrae Cal EMA- W74231 VF <br /> OSPR- INRC- 6 t 3b <br /> 1 , <br /> <br /> <br /> <br /> I.b. PERSON REPORTING SPILT.(if different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#-. 4.Fxt-. S.PAQCELL- <br /> 2. SUBSTANCE TYPE: <br /> 2.A.SUBSTANCE: b.10Ty:;0=-C Ammat momwe e.TYPE; d.OTHER: <br /> 1.Sulfuric Acid 98% -c 10 G2j($) CHEMICAL <br /> 2- <br /> 3. <br /> e.DESCRIPTION: The acid spilled during maintenawe on a line that was not cmpty. <br /> t CONTAU-TED; g.WATER IL WATERWAY: LDRIENRING WATER IMPACTED <br /> INVOLVED! <br /> Yes No No <br /> j KNOWN IMPACT None <br /> 3. a.INCIDENT LOCATION: 16777 Howlent Road <br /> b.CITY-. e.COUNTY: 4.ZIP: <br /> Laftop San Joaquin County 95330 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. TIM (Mimviy)- a SITE: d. CAUSE <br /> 11/04/2009 0730 Other H=a:a En-or' <br /> e. INJ tMMS# L FATALS g.EVACS#: h.CLEANUP BY: <br /> 0 0 0 Reporting Parry <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> � .ON SCENE: b.OTHER ON SCENE: c.07UMNOTIMD: <br /> d.ADMIN.AGENCY: S=lougain Cowry fiw&gmmq e.SEC.AGENCY; <br /> Services <br /> E ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST, <br /> bm Unit- RWQCB Unir 5B <br /> N"WA Zwn 11 CUPH-DOL OFEMA L1=wa LIMEM <br /> [RDM4WR 11 Ant.MMOMMMS 10 CDOO EIFOMA-a 0 03H. 11 usco <br /> CK D%,Qnm C El C-LMRAM 11 I>m (2 LAT-M 0PAM&MC Dew" <br /> zpMCDF 0 EN PAW 11 C11 ENAWMdATUM 13 PUC [100ft <br /> 9 IS CPA C1 cowLL com F-1 izw., C3C.1PMA PL,,NS0Nrt El," Elcwwh <br /> XPA.COV,1)T42C.ER4gnm0vmm <br />