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MAY 12 '98 07:32PM GES N" SACRAMENTO _ P,1z1 _ <br /> o E S GOVERNOR'S OFFICE OF ; <br /> �= EMERGENCY SERVICES `` ' $ (9,q$ <br /> Hazardous Materials Spill Report <br /> i <br /> 1921 <br /> DATE: 05112/98 RECEIVED$Y: CONTROL#: - — -- <br /> TIME: 1921 OES- Sill Pennington 98-2252 <br /> OSPR- <br /> 1. PERSON NOTIFYING GOVERNOR'S O S: <br /> a. NAME: b. AGENCY: c, PHONE#: d.Ext: e.PAG/CELL: <br /> pavid U arkovich Stockton FD 209.937-8021 <br /> _ BSTANGE TYPE: <br /> Z a.SUBSTANCE: b.QTY:>=< Am of mr&wre C.TYPE: d.01 HER: <br /> 1 fertilizer 1600 Lbs. OTHER fertilizer <br /> 2. <br /> �- 3. <br /> e.DESCRIPTION: Illegal dump along a I mile of arbor Ave and Los Angeles St to Fresno Ave to Washington <br /> _ St <br /> f,CONTAINED: g.WATER INVOLVED: h.WATERWAY: <br /> Yes No <br /> S. a.INCTDENT LOCATION: Harbor Ave and Los Angeles St to Fresno Ave to Washington St <br /> b.CITY: e.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:05/12/98 b. TIME (Maft&T): 1015 c.SITE: Road <br /> d. INJURIES# e.FATALS#: L EVACS#: g.CLEANUP BY: <br /> 0 0 Contractor <br /> S. RESPONSIBLE PARTY: <br /> A-NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Valk <br /> e.MAIL ADDRESS: 1.CITY: g.STATE: h.ZIP: <br /> CA <br /> 6, NOTIFICATION INFORMATION: <br /> a NRC#: b.ON SCENE: <br /> Fire Dept. <br /> c.OTHER ON SCENE: d.OTHER NOTIFIED! <br /> CHP,Env Health,Co OES <br /> e.ADMIN.AGENCY: Sw Joaquin Cowry EntuxcwY E SEC.AGENCY: <br /> Servim <br /> g.NOTIFICATION LIST: _ DOG V—nit <br /> cenwQCB Unit-, 58 <br /> l/V nNCUPn L']DrG.OSPR T.'FMSA UV959LW9"NIT "QC9 ✓-v Vr S <br /> ATw Rica"Rees aD i I DHS-D D id r A oeF Reo MUM s9en _I otaeR <br /> r ..CAL,iRnNS ...�DQQ i���rooUknG ❑osm <br /> J �v US GPA <br /> eDy [)(DTx I "NDS Ij PARKS RFC' �^^VPIQdS <br /> COAST Com Ge5 I6 TVNVUPUC L.I USCG <br /> � 1 <br /> r <br />