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SPILL REPORTING FORM <br /> COVEY AUTO EXPRESS,INC. <br /> 1444 EL PINAL DRIVE <br /> STOCKTON,CALIFORNIA 95205 <br /> Material Released: <br /> Quantity of Material Released: <br /> Location of Release: <br /> Date and Time of Release: <br /> Nature of Release: <br /> Who was Notified of Release: <br /> Was Spill Stopped and Contained? O Yes O No <br /> Did the Spill Reach: Stormwater System ()Yes* ()No <br /> Adjacent Properties ()Yes* ()No <br /> What Response was taken to Mitigate the Spill: <br /> What Measures have been Implemented to Prevent Future Spills/Releases: <br /> *Please complete the Emergency Response Agency Notification Form. <br />