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02-27-2004 08:51 From-OES HQ SACRP9TO W/C 918-845-6910 T-689 P101/021 F-769 <br /> Hazardous Mat-erVsSp�ill Report <br /> DATIE: 02/27/2004 RECEIVED Ry; <br /> T)<WIE: 0829 OES- Sibyl Clarlc OES- 04-1087 <br /> — I.a. PERSON NOTIFYING GOVERNOR'SOOES: <br /> NRC_ <br /> I. NAME; Z. AGENCY: <br /> Ray Von Flue San Jo:;9uin Env.Health Dept. 1-209-468-9848 4, Eat. 5.PAG/CI•;LL: <br /> 1.b. <br /> Q I. NAMmE:P : REPORTING SPILL (If different from above): 1-209-481-9071 <br /> _ - 2. AGENCY: 3. PI30N)E4: 4. )Ext: <br /> S.PAG/CELL; <br /> Z. SC1$STANCE TYPE: <br /> 2.a.S(JBSTA\CE: b,(17 Y < Amount <br /> 9- Mise.Drug Lab waste Unk, Gaaleasure r TYPE: <br /> 2. Gal(s) d. OTHER: <br /> COMICAL <br /> 3. <br /> e.DESCRIPTION: Drug lab bust with.the Sheriffs OffGe discovered this drug]ab, of a galvanize Watering <br /> trough in a goat pen,had a hose to drain product outside wh ich fed a ch which is adjacent teriddle <br /> River. This river feeds To the Delta drainage dit <br /> f.CONTAINED: g.WATER INVOLVED: h. WATERWAY: <br /> Yes Yes i. DRINKING WATER IMPACTED <br /> Drainage Ditch to Middle Yp s <br /> River <br /> �. A.INCIDENT LOCATION: 14155 W.Hwy.4, nearest town is Holt,nearest cross road is Trac <br /> b. CITY, C. COUNTY: y Blvd <br /> Unincorporated county area San Joaquin County d. ZIP: <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE0226/2004 b. TIME. (Mrtitary),-2245 c.SITE: Merchant/Busiltess <br /> d. INJ'YIRIES# e. FATALS#: L EVACS#: <br /> 0 0 0 9. CLEANUP 13Y: <br /> Contractor <br /> S- SUSPECTED RESPONSIBLE,PARTY�s#f PRSOniiOTjFyfsJ <br /> a.NAME.- b. AGENCY: <br /> Unknown at this time. c•I'HONE#f: d. EXT.: <br /> e.MAIL ADDRESS: <br /> f. CITY: g.STATE: h. ZIl': <br /> CA <br /> 6. NOTIFICATIONI�' ORMATION: <br /> � ON SCENE: b• OTHER ON SCENE: <br /> Co OES,Sheriff Ofc, C. OTHER NOTIFIED: <br /> DISC, D1;G <br /> d.ADMIN.AGENCY: San loaq;ain County Emergency Scrvicrs e.SEC. AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit: <br /> _ RWQCB Unit, 513 <br /> C1 ANCUPA i-t _._.- �— <br /> �r E— �1'J USPW5 (I.-I DI MOD&AG — —�--- <br /> J DPG-Opa gilt RESOURC�y BD!-J D[lq '' MR �- OSCG <br /> L�OTSC CALTRANS 4ANDS I?PARKS A REC USn01 <br /> f�J RwQcB ❑EB PAR}S Ll Ggs?L"Zm..TuvJT f��PUC L�ortmx <br /> 0 US LPA CAF E�.SSn fE OES Pu7ys user �i SFM <br /> - E COASTAL COM U FEn-In L_�nG8 Atp <br /> US,mmg <br />