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08-24-2006 11:16 From-OES HQ SArPAMENTO W/C 916-845-8910 T-905 P.001/001 F-364 <br /> GOVERNOR'S OFFICE OF EML,:.aENCY SERVICES <br /> w <br /> Hazardous Materials Spill Report <br /> DATE: 08/24/2006 RECEIVED BY: CONTROL#: <br /> TIME: 1048 OES- Bob:'Mcrae OPS- 06-5065 <br /> IOSPR- NRC- <br /> <br /> <br /> <br /> Lb. PERSON REPORTING SPILL(If different from above): I <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4 G/ L: <br /> 2. SUBSTANCE TYPE: <br /> 2.A.SUBSTANCE: b.QTY:— Amount .Measure e.TYPE: d.OTHER: <br /> 1.Diluted water based = 600 Gal(s) CHEMICAL. <br /> paint <br /> 2 <br /> 3. _ <br /> e.DESCRIPTION: An employee leftt hose running during the night. The substance spilled on the ground and into <br /> a storm drain. The reporting party advised that it appears the substance is contained within their storm drain system. <br /> There is a contractor en route to pump out the storm drain. <br /> f.CONTAINED: g.WATER INVOLVED: h.WATERWAY: i.DRINKING WATER I&IPACTED <br /> Unknown Yes storm drain No <br /> 3. a.INCIDENT LOCATION: 214 S.Kelly St. <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Lodi San Joaquin County <br /> 4. INCIDENT DESCRIPTION: <br /> a.DATE: 08/24/2006 b. TIME (military):0400 c. SITE: Oil Field <br /> d. LN.ICIRIES# e. FATALS#: f.EVACS#: g. CLEANUP BY: <br /> 0 0 0 Contractor <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> �s.ON SCENE: b.O'T'HER ON SCENE: c. OTHER NOTIFIED: <br /> City of Lodi Waste Water,Co. Env Healtl <br /> d. ADMIN.AGENCY; San Joaquin County Lmrrpcncy Services e.SEC.AGENCY: <br /> f.NOTIIFICATION IL�I�ST: DOC unit: RWQCR Unit. 5B <br /> AA/CUPA �^USFWS ^U DHS-D.O. LJ POOR R AG I�.^I OSHA LnNI USCG <br /> �aaJ DPO.03PR I_1 AIR RIlSOURCCS OD 1 UJG 17 LANDS Z PARKS&RBC . US= <br /> Ick^^DTSC �-Jt CALTRANS ❑EB PARKS rUr OES HAZMATUNrr II_I Poe I�OTHER <br /> RWQI CDP �I r.SA L__II 4E <br /> CB S PLANS UNrr El 9FM <br /> faJ US BPA COnSTAL COM ❑F13MA L.. ors ROG LJ USMMS <br />