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12-05-2003 08:46 From-OES NQ SAC' ''ENiO W/C <br /> 916-845-8810 i-519 P.001/001 F-463 <br /> :s x uvvcrc(vvres OI-t-IGE OF Eli.-AGENCY SERVICES <br /> �y Hazardous Materials Spill Report <br /> DAT=12/04/-7003D BY:TIMCONTROL#, <br /> CES- Toni Walthour CES- 03-6252 <br /> I.R. PERSON NOTIFYING GOVERNOR'SCOES: NRC - 707077 <br /> 1. NAME. 2. AGENCY: 3. PHONE#: <br /> George Odell Chevron Pi eline 4. Ex[: 5. PAG/CELL; <br /> P 281-596-2273 713-SIS-3321 <br /> l.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4. Ext: <br /> 5.PAC/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.A.SUBSTANCE; b.QTY;>=c Amaum Measure <br /> I.crude oil = c.TYPE: d.OTHER: <br /> UNIc N/A <br /> 2. PETROLEUM <br /> 3. _ <br /> e.DESCRIPTION: A farmer hit a pipeline causing a leak.They are enroute to investigate. 1[ s <br /> field. <br /> f.CONTAINED: g. WATER INVOLVED: h.WATERWAY: i. DRINKING WATER IMPACTED <br /> Yes No <br /> 3. a.INCMFNT LOCATION: Patterson Pass Road and Route 205 <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Tracy San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:12/04/2003 b. TIME (Mll)tary);0945 e.SITE: Other <br /> d. INJURIES# e.PATALS#: f EVACS#: g.CLEANUP BY: <br /> 0 0 0 Reporting Party and contractor <br /> Samems#t.'IPERSONrNOTiFYiNG OCT <br /> S. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d. EXT.: <br /> N/A <br /> e.MAIL ADDRESS: t CITY; g. STATE: h.ZIP: <br /> CA <br /> 6. NOTIFICATION INFORMATION: <br /> �-ON SCENE: b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> Fire Dept. <br /> d.ADMIN.AGENCY: San louquin Coanry Emeq;cncy Services e.SEC.AGENCY: <br /> f. NOTIFICATION LIST: DOG Unit 6 RwQC11 unit: 5B <br /> f Aw2UPA C�DPOASPR L IEAISA I_�02S PLANS UN(r LRWQCB LL USPWS <br /> U ABt RPSOURCPS aD❑DF6•D.O ❑FBMA LI OES REG SPM �❑USDOI <br /> ❑W-TRANS DOG ❑FOODG AO ❑OSHA ❑US BPA 1._70'tnER <br /> ❑0DP ❑-ll DISC I�LANDS ❑PAl(KS 61 REC ^❑^uSMMS <br /> ❑cAASTAL COM LJ 6B PAAKs O[iS <br /> Aa <br /> a ❑nucUSCG <br /> J <br />