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Ffom:CALIFORHIA STATE PIARNIIt <br /> tNTR 19168458910 • <br /> 08/20 2 01:18 #490 P.001/002 <br /> California Emergency Management Agency <br /> Hazardous Materials Spill Report 3 <br /> DATE: 08/20/2012 RECEIVED BY: CONTROL#: <br /> TIME: UI12 Cal EMA- Tim Tribble Cal EMA- 12-4931 <br /> OSPR- <br /> <br /> <br /> <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.SUBSTANCE: b.QTY: Amawu Measure c.TYPE: d.OTHER: e, PIPELINE f, VESSEL <br /> 1 Fire = >=300 Tons <br /> 3 Gal(s) CHEMIC_AI, O Yes Na O Yes 0 No <br /> Extinguisher <br /> Charges <br /> 2. <br /> 3. Oyes O No O Yes 0 No <br /> 3, O Yes �No O Yes � No <br /> g.DESCRIPTION: Per the caller a nail from die pallet punctured the pail causing the spill. <br /> h.CONTAINED: I.WATER j.WATERWAY: It.DRINKING WATER IMPACTED <br /> INVOLVED: <br /> Yes No <br /> 1.KNOWN IMPACT None <br /> 3. a.INCIDENT LOCATION. 3233 Loomis Road <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquni County <br /> 4 INCIDENT DESCRIPTION, <br /> a.DATE: b. TIME (Military): C.SITE: d. CAUSE <br /> 08120/2012 0100 Merchant/Business Other <br /> Description for Other:Puncture <br /> e. [INJURIES c FATAIXIN g.EVACUATION h.CLEANUP BY: <br /> O Yes 0 No O Yes *No O Yes *No <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> �.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: sm joaquin comity Emergency Services e.SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h,NOTIFICATION LIST: <br /> �g <br /> DOG Unit RWQCB Unit: 50 <br /> la" A ❑A MOt1ACBSBD [I DPA ❑Calf AHpZMATD ,0❑ El Co Mth <br /> E DFO-OSPR ❑CALT s ❑BBPARKS ❑Cil FMAPLANs= ❑ucss [10r <br /> E DMC ❑CAll]RE ❑EtdaA ❑Cil P nG ❑pSE4Sa ❑DFO/OSPRiMU <br /> ®RWQCB ❑CORS Com ❑FEMA 130S ❑USCG <br /> ELSE A ❑CDPH-D.O ❑FOOD&AG ❑PARKS&RSC Elco <br /> 9 L Vs ❑DOG ❑LHDa ❑PVC ❑cMnN <br /> con'amriivrLnt. <br /> ItEntARi s <br /> tiVsm9m;.cenieriunps.calema,w,gcv;R9-RT.Cp-,P.EP3G,Oi';U'f'St'.N,R��malLcom <br /> dausan�gawater000rds.ca.gov;fwscemasphhpt@rw340v;gdlnthgwaterboards.ca.gov;mwaltai*waterboxds.ca.gov; <br />