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Frori,:..CALL FORHIA STATE WARNING CNIR 19168458910 08/09/2011 09:34 #663 F.0011002 <br /> Califomla Emergency Management Agen a <br /> Hazardous Materials Spill Repo <br /> DATE: 08/09/2011 RECEIVED BY: CONTROL#: <br /> TRWE: 0923 Cal EMA- Ronald Demayo Cal EMA- 114714 <br /> OSPR- NRC- <br /> i.a. PERSON NOTIFYING Cal EMA: <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: <br /> Colleen O:Vlalley AT&T Environment Health f 714666-5432 <br /> and Safety <br /> 1.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONED: 4.Eat: 5.PAG/CELL: <br /> 2. RMANCE TYPE: <br /> 2.a:SUBSTANCE: b.QTY: Amomot Meawe c.TYPE: d.OTHER: e. VESSEL <br /> >=300 Tons <br /> 1.Battery - 13 Gal(s) CBEI. UCAL O Yes ♦ No <br /> Electrolyte <br /> 2. = O Yes 0 No <br /> 3. = 0Yes 0No <br /> e.DRW R1111`1ON: Caller states three pallets containing batteries were vandalized within their building which <br /> resulted in the release of substance. <br /> f.CONTAINED: g.WATER h.WATERWAY: i.DRINIaNG WATER IMPACTED <br /> INVOLVED: <br /> Yes Yes Storm Drain,unknown Unknown <br /> where it runs to <br /> J.KNOWN EMPACT Ubknown <br /> r. � �.^I .1 lil IIY IiiY . IIllill lll�.��.1 <br /> 3. a.INCIDENT LOCATION: 44 West Yokut,loading Dock <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County 95207 <br /> 4.INCIDENT DESCRIPTION- <br /> a.DATE: b. TIME (mwwy). c.SITE: d. CAUSE <br /> 08/09/2011 0730 Utilities/Substation Other <br /> Description for Other:Vandalism <br /> e. IM'URIFS f FATALITY g.EZAC;U41ATION h.CLF,4,NZ U'BY: <br /> Yes i No Q Yes *No Q Yes i No Clean Harbors Contractor <br /> 5. SUSPECTED RESPONSMLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Unknown <br /> e.MAIL ADDRESS: f CITY: g.STATE: h.ZIP: <br /> CA <br /> 6. NOTIFICATION INFORMATION: <br /> k.ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> d.ADMIN.AGENCY: San Joaquin county icy services e-SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> ®AAMPA ❑AlxPzsouRcw8D ❑m R ❑Cal EMAEATMATUMr❑SFT.! ❑011M <br /> _ DFO-OSPR ❑CALTRAM8 ❑ESS PARKS ❑cd&"xAm uNn ❑ilnaa ❑DFaAOSpR wu <br /> OD= ❑Mir ❑EawA ❑Cal WARW N rico <br /> ®RWQM - ❑coAsrAL COM - ❑FDMA ❑OSHA ❑0,ANP <br /> ®IIS EPA ®CDPH-DO. ❑FOOD&A0 ca PARKS&RDC ❑codit <br /> JOUSrm ❑DOG ®meg ❑PUC ❑C.S-M tl <br /> COIN IDEM TIAL <br /> c R$1rrARKS: <br /> �'�r 'ii'srsd�.crr►ter�}�xcak�wra.ra.pov;I,ALHCDOI�hI�Fokle�r�tTSE:G.wU;R.t"CAi�me.�larj� .mti;3anY?�[tJE�OC�[ISf:G.u�It; <br /> rl`• <br />