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Frod:CALIFORHIA STATE WARNIN0TR 19168458910 02/0012 10:29 #373 P.001/002 <br /> California Emergency Management,agency <br /> Hazardous !Materials Spill Report <br /> DATE: 02/12/2012 RECEIVED BY: CONTROL#: <br /> TIME: 1014 Cal EMA- Ruben Rodriguez Cal EMA- 12-082b D <br /> OSPR- NRC- l'li <br /> La. PERSON NOTIFYING Cal EMA: _ <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.P, ];: ' <br /> Ralph Roberts PCTRE 209-323-9492 20 '�23-9 fl2 '' R <br /> I.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2.a.SUBSTANCE: b.QTY: Arxount Mefaw-e C.TYPE: d.OTHER: e. PIPELINE f. VESSEL <br /> '-` >=300 Tons <br /> 1. Tri Ethylene Gal(s) CIM IIC_AL O Yes *No O Yes * No <br /> Glycol <br /> 2. = O Yes *No O Yes * No <br /> 3. - O Yes *No O Yes * No <br /> g.I)37!:SCRIP`€'ION: Caller is reportinga,mechanical malfunction on a reboiler piping pipe,caizsiai=;this release. <br /> -Approximately.33 gallons released to the soil. This occunTed at a natural gas withdrawal <br /> platform. <br /> h.CONTAINED: i.WATER j.WATERWAY: k. DRINIUNG` .M'ER TkIPAG'.TI;:D <br /> INVOLVED: <br /> Yes No <br /> 1. KNOWN INNIPACT <br /> 3. a.INCIDENT LOCATION: Whiskey Slough Platform, Smile,,;west of Stockton on 1-l:wy 4,no physical <br /> address <br /> b.CITY: c. COUNTY: d.ZIP: <br /> 1-1olt San.foaquin County 95234 <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE: b. TM11E (Military): C.SITE: d. CAUSE <br /> 02/12/2012 0930 Other lvfechanical <br /> E. 1?J."J.IIUES f FATALITY -..1"_VA¢i..€..+AT.",0. 12. C_I.I'.ANL'f'.tly: <br /> O Yes *No O Yes *No O Yes *No Responsible Party <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Ralph Roberts Pi3-&E 209-323-9492 <br /> e.IL�ILADDRESS: f. CITY: g. STtiTy: 1 ZIP: <br /> PO Box 106 Holt CA. 952.34 <br /> 6. NOTIFICATION INFORMATION: <br /> Ia. ON SCENE: b. OTHER ON SCENE: c. OTHER NOTIFIED: <br /> San Joaquin OES <br /> d.ADMIN.AGENCY: San Joaquin County Emergency Services e.SEC.AGENCY: <br /> f. ADDITIONAL COUNTY: g.ADMIN.AGENCY: <br /> h.NOTIFICATION LIST: <br /> DOG Unit: RWQCB Unit: 5B <br /> ®AA/CUPA ❑AIR RESOURCES BD ❑DPR ❑Cal MMA HAZMAM=❑SFM ❑Co/E-Hlth <br /> DFG-OSPR ❑CALTRANS ❑EB PARKS ❑Cal EMA PLANS UNTT ❑UCSB ❑OTHER <br /> ®DTSC ❑CALFIRE ❑EMSA ❑Cal EMAREG ❑USMMs ❑DFG/OSPR/MSU <br /> ®RWQCB ❑COASTAL COM ❑FEMA ❑OSHA ❑USCG <br /> ®US EPA ❑CDPH-D.O. ❑FOOD&AG ❑PARKS&REC ❑Co/WP <br /> M USFWS ❑DOG ❑LANDS ❑PUC ❑Co/Hlth <br /> CONFIDENTIAL <br /> RENL4;2KS: <br /> V,'aan9n„.renters?ops.caiPma.c .gov;h9_P,R r•EYA.GO'V,1?'r8CXR, a:ail.conx <br />