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OT-10-2008 12:04 From-OES HQ SACRAMENTO W/C 916-845-8910 T-365 1'.001/002 -575 <br /> GOVERNOR'S ICE OF EMERGE <br /> SERVICES 0 <br /> Hazardous Materials Spill R <br /> DATE. 06/27/2008 RECEIVED BY: CONTROL#. <br /> TIME: 1329 OES- Danielle Bird OES- bg- <br /> OSPR - NRC. ` <br /> 1.2k. PERSON NOTIFYING GOVERNOR'S OES: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAGICELL: <br /> Kelly nurrer Lyle's Mechanical Co 559-994-8342 <br /> 1.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME; 2. AGENCY; 3. PHONE#; 4.Ext: 5.PAGICELE: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY:}=< Amount Measure c.TYPE: d.OTHER: <br /> 1. Sealtight Duogard - unknown NIA PETROLEUM <br /> form release agent <br /> 2. <br /> 3. _ <br /> e.DESCRIPTION: Secondary containment had a slaw leak The location is new construction no Ethanol on site at <br /> this time <br /> f.CONTAINED: g.WATER INVOLVED: h.WATERWAY: i.DREZ IMG WATER EMACTED <br /> Yes No <br /> 3. a.INCIDENT LOCATION: fort of Stockton near enrranee to job site <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:06125/2008 b. TIME (AmItary):1500 C.SITE: Refinery <br /> d. INJURIES# e.FATALS#: f.EVACS#: g.CLEANUP BY: <br /> 0 0 0 Contractor <br /> same as it1."PERSON NOTIFYING OES" <br /> 5, SUSPECTED RESPONSIBLE PARTY: <br /> a.NAMIE:: b. AGENCY: c.PHONE#: d.EXT.: <br /> Lyles Mechanical Company 559-994-8342 <br /> e.MAIL ADDRESS: f.CITY: g.STATE: h.ZIP- <br /> 3 02 8 <br /> IP:3025 Navy lar Stockton CA 95206 <br /> 6. N'OTMCATION INFORMATION: <br /> �.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> Stockron Fire Dept 10, <br /> d.ADMIN.AGENCY: San Joaquin County Emergency Services e,SEC.AGENCY: <br /> f.NOTIFICATION LIST: AOC unit: RWQCB Unit: 5B <br /> E171 AAlCIIPA Z U3,PVS n DHS-D.O. a Foo10.&AG ❑os:r^ ❑uscG <br /> 0 1)F0-0SPR ❑AIR"SOURM HD DDG ❑LANPS ❑PARKS do REc r❑usDoI <br /> ❑�. DrMC ❑CALTLINS � 1l HS PARKS ❑OpaS EfAzm Tum r❑h I PVC .I OTHER <br /> RwQCB ❑CDF L�IBMSA ❑OES PLANS UMT I. -f SFM <br /> U VS PPA ❑COASTAL.CWP[ LJ FEMA ❑Ogg xw EI usm2m <br />