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From:CALIFORHIA STATE WARNING C16 19168458910 06/10/0 14: 11 #853 P.001/001 <br /> California Emergency Management Agency <br /> Hazardous Materials Spill Report D <br /> DATE: 06/10/2011 RECEIVED BY: CONTROL#: D <br /> TIME: 1405 Cal EMA- Sibyl Clark Cal EMA- 11-3494 11 <br /> OSPR- NRC- <br /> <br /> <br /> <br /> <br /> l.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Eat: S.PA L . <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY: Amount Meamre c.TYPE: d OTHER: e. VESSEL <br /> >=< >=300 Tons <br /> 1.Ethanol = 15 Gal(s) CHEMICAL O Yes 0 No <br /> 2. = O Yes 0 No <br /> 3 = O Yes ♦ No <br /> e.DESCRIPTION: An overload of a truck caused this release. <br /> f.CONTAINED: g.WATER h.WATERWAY: i.DRINKING WATER IMPACTED <br /> INVOLVED: <br /> Yes No <br /> j.KNOWN IMPACT <br /> 3. a.INCIDENT LOCATION: 3028 Navy Dr. <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County 95206 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. TIME (Military): c.SrrE: d. CAUSE <br /> 06/10/2011 1300 MerchantBusiness Human Error <br /> e. INJURIES f.FATALITY g. EVACUATION It.CLEANUP BY: <br /> O Yes *No O Yes *No O Yes 0 No Responsible Party <br /> <br /> <br /> <br /> <br /> <br /> 6. NOTIFICATION INFORMATION: <br /> k.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: San Joaquin County FAnergency 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 ❑Ani RESOURCES RD ❑DM ❑Cil F HAZMANHII❑SFAS ❑OTFH'R <br /> ®DFG-OSPR ❑CALi s El PARKS ❑c.tE PLANS= ❑USMMS ❑DF6/OSPRafSU <br /> ®DISC ❑CDF ❑EMSA ❑Cil RMAREO ❑USCG <br /> ®RWQCB ❑COASr cont ❑FEMA ❑OSHA ❑COMP <br /> ®USEPA ❑CDPH-D.O. ❑FOODaAG ❑PARxa&REC ❑Connat <br /> lz S ❑DOG ❑LANDS ❑PUC ❑Co HIIA <br /> CONFIDENTIAL <br /> REMARKS; <br /> <br /> <br />