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From:CALIFORHIA STATE WARNINR 19168458910 08/*011 13 :45 #302 P.001/001 <br /> California Emergency Management 4 <br /> Hazardous Materials spill <br /> DATE: 08/30/2011 RECEIVED BY: CONTROL#: <br /> TIME: 1334 Cal EMA- Bob Mcrae Cal EMA. 11-514 <br /> OSPR - NRC- <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: _Antemt Measure c.TYPE: d.OTHER: e. PIPELINE E VESSEL <br /> >=< >=300 Tons <br /> 1.Ethanol = 35oc Gal(sj PETROLHliyt O Yes ♦No O Yes 0 No <br /> 2. = OYes 0NoOYes * No <br /> 3. = O Yes 9 No O Yes 0 No <br /> g. DESCRIPTION: The caller is reporting a controlled release of ethanol into secondary contairunent. The spill <br /> has been cleaned up by the reporting party. <br /> h.CONTAINED: L WATER j.WATERWAY: k.DRINKING WATER]IMPACTED <br /> INVOLVED: <br /> Yes No No <br /> 1.KNOWN IMPACT None <br /> 3. a.INCIDENT LOCATION: 3028 Navy Drive <br /> b. CITY: c.COUNTY: d.21P: <br /> Stockton Sanloaquin County 95206 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. TIME (Military): c.SITE: d. CAUSE <br /> 08/25/2011 1700 Other Unknown <br /> e. INJURIES L FATALITY g.:EVACUATIO.N b.CLEANUP:BY: <br /> O Yes *No O Yes *No O Yes *No Repotting Party <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> Ia.ON SCENE: b. OTHER ON SCENE: c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: San Joaquin County F=ergency Services e.SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> N AA/CUPA ❑A a:asomms m ❑DPR ❑Cel fiMAHAZMATUNR❑SFM ❑OTHER <br /> ODM-OSPR ❑CALTRANS ❑EBPARKS ❑CeI F1dAPLANS UNR' ❑USMMS ❑DFO/OSPR/fASI1 <br /> NDISC ElCDF ❑EMSA ❑ el CEMAREO ElUSCO <br /> ORWQM ❑COASTAL COM ❑FEMA 11 OSTIA ❑coM <br /> NUS EPA ❑CDPH-D.O. ❑FOOD&AO ❑PARRS&REC ❑C.MH <br /> ®VSFWS 11 DOG ❑LANDS El Mc El C./ Hah <br /> CON�xDR[vTZAL <br /> REbiARiCS <br /> R'arn3ng.cenfeFGr ips.calema.ca.gor;R9_RRCrF,PA.GOv;DTSC.ER@Vnafl,c ra <br /> <br /> <br /> <br /> <br />