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16-16-2007 11 :E3 From-CES HQ SACRAIENTO V'/C Sib-845-8910 7-573 P.001/001 F-273 <br /> C1 L-.:S GOVERNOR'S OFFICE OF EMF-,ENCY SERVICES <br /> Hazardous Materials Spill Repsr �� <br /> ...y..t.h. 1 <br /> DATL: 10/16/200'/ RECEI«D BY* <br /> CONTROL#!._: <br /> TIRE• 1136 DES. Charles Bickinella ()ES- 07-6312 <br /> OSPR- NRC - <br /> 1.a. PERSON NOTIf"i'ING GOVERNOR'S OES: 4.Elm S.PAG/CELL: <br /> 1 NAI%11: 2, AGENCY: 3. PHONE#: <br /> Jeff Smeenk Stockton Fire Dept_ 209-346-6831 <br /> 1.b. 'PERSON RLPORTING SPILL(It different from above): { PAG/CELT.: <br /> 1. NAME. 2. AGENCY: 3. PRONE#: 4.E.at: 1• <br /> 2. SUBSTANCE TYPE: <br /> ?. d.OTHER: <br /> a.SUBSTANCE. b.Q'fY:>=s Amount Measure C.T1`PE: <br /> 1.TransfonneT Oil - <br /> 2 Galls) PETROLEUM <br /> 2. <br /> 3. <br /> e.DESCRIPTIQN: 10/16/07 at 1100 Sus,Fire in an underground transformer,Fire Dept extinguished with dry <br /> chemical and spread an absorbani ou the ground.PG&E is on scene. <br /> f.CONTAINER: g.WATER IN-N'OLVED: h.WATERWAY: <br /> Na RINK NG WATER IMPACTED <br /> Yes Untmown <br /> 3. a.INCIDENT LOCATION. Intersection of Burgandy and Lorraine <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:10/16/2007 b. TIME (Military):1100 C.SITE: Residence CLEANUP BY: <br /> d. A'JfJRIES# e.IATAIS#: f.iCVACS#: g <br /> 0 0 Responsible Party <br /> 0 <br /> Same as#7°PERSON_�OTIFYING OES"! <br /> 5. SUSPECTED RESPONSIBLE PARTY: c,PHONE#: d.EXT.- <br /> a.NANZ: b. AGENCY: <br /> James Holcomb PG&E 209-�01-0197 <br /> L CIS:: g.STATE: h.ZIP: <br /> e.MAIL ADDRESS. CA <br /> 6. NOTIFICATION INFORMATION: <br /> � <br /> b.OTHER ON SCENE: c.OTHER NOTIFIED: <br /> a.O\r SCF,NE: <br /> Fire Depi-Police Dept. <br /> d.ADINT12N.AGENCY: Sen Joaquin Counry FIrwgrney Services e.SEC.AGENCY: <br /> f.NOTIFICATION LIST: <br /> OCG Unit: RR'QCB Unit: S$ <br /> F71�1 usra,s � �j nNs.n.a. �,�goons:,.c [.�osxA r{UscG <br /> f. cuP�. 1 ISI PARKSARLc L�Usnof <br /> I "_' _ nn� - <br /> AIR RL+50URcES EP G POG <br /> 7 AFGOSP1c <br /> 1IIfS-?IA (�FPARKS ILr�J�0�S HAt,SlMT L�JL PUUSCM <br /> M` OTHER <br /> SPMOTBC LJ CA�TRPNS OIS F.►+E UNIT L <br /> -wQ� ECPT kMSA <br /> USEr. CCOAS7AL COM FEMA RFG <br /> i <br /> ` <br />