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Pacific Gas and Electric Company <br />PCB/Oil Spill or Leak Report <br />is <br />623685 (8/94) <br />Distribution <br />Page 3 of 6 <br />AGENCY NOTIFICATIONS (Telephone notifications should be made as soon as possible, but must be made within 24 <br />hours if required): <br />National Response Center Date Time Report # or Name By (Name) <br />Phone(800)424-8802 <br />EPA Region IX bate Time Report # or Name By (Name) <br />Phone(415)744-1001 <br />California OES Date Time Report # or Name By (Name) <br />Phone (800) 852-7550 or (916) 262-1621 <br />County Environmental Health <br />RWQCB <br />Other <br />Phone <br />Date . Time Report # or Name <br />(Name) <br />Date Time Report # or Name By (Name) <br />Date Time Report # or Name By (Name) <br />Other Date Time Report # or Name By (Name) <br />Phone <br />Written Follow-up Report (within 30 days) sent to Cal. - OES (attach copy) Date By (Name) <br />Is a Pre -cleanup Statistical Sampling Plan Required?Io ❑ Yes (Complete below , sketch on separate page, and <br />attach a copy of the plan and of laboratory analysis results) <br />Are Special Cleanup Efforts Required by Spill Conditions or Regulatory Agencies? ❑ No ❑ Yes (describe) <br />�fl�t e jr - <br />