COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

❑� Northwest Pipe Spill Prevention, Control, and Countermeasure (SPCC) Plan 49 �--. Company Tracy Plant Appendix D Discharge Notification Form Discharge Notification Form Part A: Discharge Information General Information when reporting a spill to outside authorities: Name: Northwest Pipe Company— Tracy Plant Address: 10100 W. Linne Road, Tracy, CA 95377 Telephone: (951) 928-3446 Owner/Operator: Northwest Pipe Company 201 NE Park Plaza Drive, Suite 100, Vancouver, WA 98684 Primary Contact: Denisse Vignon Work: (209) 666-8967 Fernandez Cell (24 ours): (832) 833-5697 Type of oil: Discharge Date and Time: Quantity Released: Discovery Date and Time: Quantity Released to a Water Body: Discharge Duration: Location/Source: Action(s)taken to stop, remove, and mitigate impacts of the discharge: Affected media(select all that apply): ❑ Air ❑ Soil ❑ Dike/Berm/Oil-Water Separator ❑ Water ❑ Stormwater Sewer/POTW ❑ Other: Notification Person: Telephone Contact: Business: 24-Hr: Nature of discharges, environmental/health effects and damages: ❑ Injury(s) ❑ Fatality(s) ❑ Evacuation Required Part 13: Notification Checklist Date and Time Name of Person Receiving Call DISCHARGE IN ANY AMOUNT Denisse Vignon Fernandez (209)666-8967 work or 832 833-5697 cell DISCHARGE IN AMOUNT EXCEEDING 10 GALLONS AND NOT AFFECTING A WATER BODY OR GROUNDWATER Tracy Fire Station#97 209 831-6700 or 911 San Joaquin Environmental Health 209 468-3420 DISCHARGE IN ANY AMOUNT AND AFFECTING OR THREATENING TO AFFECT A WATER BODY Tracy Fire Station#97 209 831-6700 or 911 San Joaquin Environmental Health (209)468-3420 CUPA California Office of Emergency Services 800 852-7550 National Response Center 800 424-8802 City of Tracy Department of Public Works" 209 831-6300 Clean Harbors Emergency Response& (800 645-8265)375-5336 Disaster Recovery Services 'The POTW should be notified of a discharge only if oil has reached or threatens sewer drains connected to the POTW collection system.