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JAN 05 '01 03:23PM OES SACRAMENTO P.1/1 <br /> ./ Hazardous Materials S'pORepgrt <br /> u..-A(,*A*V <br /> - /YM.yuJ'YrvAm <br /> DATE: 01/05/2001 RECEIVED BY: CONTROL#: <br /> TIME: 1517 OES. Bob Mcrae 01-0091 <br /> OSPR - <br /> l: PERSON NOTIFYING GOVERNOR'S OES: <br /> a. NAME: b. AGENCY: c. PHONE#: d.Ext: c.PAG/CELL: <br /> Dan Mcllrath Stockton Petroleum 209-462-8707 <br /> 2. SUBSTANCE TYPE: <br /> 2.a. b.QTY:>=< ,Amount Measure c.TYPE: d.OTHER: <br /> SUBSTANCE: <br /> 1. Gasoline - 39 GalM PETROLEUM <br /> 2. <br /> 3, _ <br /> e.DESCRIPTION: A truck was off-loading gasoline and overfilled tank. <br /> L CONTAINED: g.WATER INVOLVED: h. WATERWAY: <br /> Yes No <br /> 3. a.INCIDENT LOCATION: 3302 N.Westlane -� <br /> b.CITY- c.COUNTY: d.ZIP: <br /> Stockton San Joaquin County 95204JA N <br /> 4.INCIDENT DESCRIPTION: <br /> a.DATE:01/05/2001 b. TIME (Military): 1330 e.SITE: Service Station <br /> d. INJURIES# e.1;ATALS#: f EVACS#: g.CLEANUP BY: <br /> 0 ' 0 0 Contractor <br /> 5. RESPONSIBLE PARTY: <br /> a.NAME: b. AGENCY: c.PHONE#: d.EXT.: <br /> Dan McIlrath Stockton Petroleum 209-462-8707 <br /> e.MAIL ADDRESS: f CITY: b.STATE: h.ZIP: <br /> PO Box 326 Stockton CA 95201 <br /> 6. NOTIFICATION INFORMATION: <br /> a.NRC#: b,ON SCENE: <br /> CHP,Co Health,Fire Dept <br /> c.OTHER ON SCENE: d.OTHER NOTIFIED: <br /> e.ADMIN.AGENCY: San Joaquin County Emergency f.SEC.AGENCY: <br /> Services <br /> g.NOTIFICATION L <br /> IST: Unit: RWQCB Unit: 5B _ <br /> DOG� I <br /> ANCUPA ff DPO-OSPR �..,.,,IMSA <br /> L., OES PLANS UNIT <br /> RWQCB J tlSrwS <br /> 1._]AIR RESOURCES BD a ONS.D.O. a FEMA LJOES REGi❑V1 sym L�Omit <br /> 71 CALTRANS El n0G DI FOOD&AG L OSHA US k'.PA <br /> MI I/. OTSC CJ LANES L7 PARKS&REC ,�11 USMM% I <br /> r VAA CTAT.CAM I F.R PARK\ 17 OFS HA2MATUNrf 71 ruc �I USC6 `I <br /> Post-it®Fax Note 7671 Date l-5,01 Pages <br /> To C) Fro r� <br /> Co./Dept. Co. ,15 D <br /> Phone# Phone# <br /> Fax# J p O l C Fax# <br />