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T. <br /> - <br /> Kimberly Blackwell [EH] <br /> From: Warning Center <Warning.Center@ops.calema.ca.gov> <br /> Sent. Tuesday, September 17,2013 3:27 PM RECEIVED <br /> To: Kimberly Blackwell [EH] <br /> Subject: Hazardous Materials Spill Report: Cal OES Control#:13-5840 <br /> SEP 17 2013 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Govemor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 09/17/2013 1 RECEIVED BY Cal OES: Patti Tran I Cal OES CNTRL <br /> #:13-5840 <br /> TIME: 1522 RECEIVED BY OSPR: f NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1. NAME: Robert Lopez 1 2. AGENCY: San Joaquin County <br /> Environmental <br /> 3. PHONE#: 209-815-3793 1 4. EXT: 1 5. PAGER* <br /> 1.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: <br /> 3. PHONE#: 4. EXT: 1 5. PAGER M <br /> 2. SUBSTANCE TYPE: <br /> a. SUBSTANCE: /b.QTY: l Amount/Measure 1 c. TYPE 1 d. OTHER 1 e. <br /> PIPELINE /f. Vessel Over=> 300 tons <br /> 1. Waste Oil 1 151 Gal(s) 1 PETROLEUM 1 1 No/ No <br /> 2. <br /> 3. <br /> g. DESCRIPTION: Caller states five (5) one-gallon containers of waste <br /> oil was abandoned on roadway. Caller will be disposing waste oil. <br /> h. CONTAINED: Yes I i. WATER INVOLVED: No <br /> j. WATERWAY: I k. DRINKING WATER IMPACTED: <br /> I. KNOWN IMPACT: <br /> 3.a. INCIDENT LOCATION: in front of 12751 North Thornton Road <br /> b. CITY: Lodi I c. COUNTY: San Joaquin County I d. ZIP: <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 9/17/2013 1 b. TIME(Military): 1215 1 c. SITE: Road I d. CAUSE: Unknown e. INJURIES: No <br /> f f. FATALITY: No I g. EVACUATIONS: No I h. <br /> CLEANUP BY: Reporting Party <br /> e. INJURIES#: I f. FATALS #: I g. EVACS#: <br /> i <br />