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I. <br />JAN 17 '01 12:33PM OE' <br />[. ,i k 3 . y <br />14 <br />�f a.saaRGp av or <br />.�rryltr»Rrro <br />IQ SACRAMENTO <br />Hazardous Materials Spy,, Report <br />P.1/1, <br />DATE: 01/17/2001 <br />RECEIVED M. <br />CONTROL#: <br />TIME: 1233 <br />OES - Schulley Randy <br />01-0355 <br />2.. SUBSTANCE TYPE: <br />OSPR - <br />2. A. b.QTY:>-< Amount Measure <br />1. PERSON NOTIFYING GOVERNOR'S OES: <br />LIST: DOG Unit: <br />a. NAME: b. AGENCY: c. PHONE#: <br />d, <br />Ca z ARCO 714-670-5402 <br />F_� CALTRANSrrvv noo ��J{ FOOD'& AO <br />2.. SUBSTANCE TYPE: <br />CDP Z, DISC LANDS <br />2. A. b.QTY:>-< Amount Measure <br />c, TYPE: d. OTHER: . <br />SUOSTANCE: <br />Co. <br />1. Gasoline = 5 Gals) <br />PETROLEUM <br />2. T <br />Phone # <br />3. — <br />Fax # Q <br />4. <br />Fax # <br />e. DESCRIPTION: Delivery driver filling storage tank and hose came loose causing spill <br />f CONTAINED: g, WATER INVOLVED: <br />b. WATERWAY: <br />Yes No <br />1 a. INCIDENT LOCATION: 130 South Wilson Way <br />b. CITY: c. COUNTY: d. ZIP: <br />Stockton San Joaquin County 95205 <br />4. INCIDENT DESCRIPTION: <br />a. DATIE:01/17!2001 b. TIME (Military); 1015 c. SITE: Service Station <br />d. INJURIES# e. F'ATALS #: f. EVACS #: g, CLEANUP BY: <br /> <br /> <br /> <br /> <br /> <br /> 38 Artesia CA 90702 <br />6. NOTIFICATION INFORMATION: <br />a. NRC#: b. ON SCENE: <br />Fire Dept, <br />c, OTHER ON SCENE: d. OTHER NOTIFIED: <br />e. ADMIN. AGENCY: San Joaquin County Emergency f. SEC. AGENCY: <br />Services <br />g. NOTIFICATION <br />LIST: DOG Unit: <br />U SSM OTi;6& <br />_ <br />AA/CUPA !_� DP6.OSPR SMSA <br />A1RA.8SOURCES SD U DHS -D.0. PUMA <br />1J9 SPA <br />F_� CALTRANSrrvv noo ��J{ FOOD'& AO <br />CDP Z, DISC LANDS <br />11 COASTAL COM =1 EH PARKS OSS HAZMATS <br />RWQCB Unit: 5B <br />LJ OSS PLANS UNrT RWOCa uspwS <br />7 OES RSG <br />U SSM OTi;6& <br />U OWA <br />1J9 SPA <br />To <br />Post -it® Fax Note <br />7671 <br />Date _ <br />I —0 I <br />pages Do. <br />To <br />Fro <br />Yd -Y1 <br />Co./Dept. <br />Co. <br />A S 11 <br />p <br />Phone # <br />Phone # <br />Fax # Q <br />Fax # <br />