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06/03/2008 08:00 FAX 8777958400 INCIDENT REPORT DESK 0002 <br /> Loss Invest!Peat!on/Near Loss <br /> Investigation <br /> Control No: 1044403 Status: Initial LPS Alert: Date Sent: <br /> Organization: LPS Bulletin: Date Sent: <br /> Global Downstream/Global Marketing/Americas Marketing North America Marketing NA COCO Stations I Area 13 <br /> 13D/96171 <br /> Initiator's Organization: 96171 <br /> Loss/Sub Loss Type(s): <br /> General Liability <br /> Spill-3rd Party <br /> Loss DatefTime: 31/May/2008 16:00 <br /> Loss/Near Loss Location; <br /> 6633 PACIFIC AVE STOCKTON CA 95207-73719 <br /> Loss/Near Loss Country: <br /> United States of America <br /> LI Classification Level: Level <br /> Sensitive Information or Commercial Incident: N <br /> Loss/Near Loss Description <br /> Customer was putting gas into car&it didn't shut off until 19.5 gallons went into car.When she pulled out hose,gas <br /> poured out of car and kept overflowing down the side of car,all over her legs and shoes. <br /> Costs lmctinq Chevron <br /> Company Asset Damage Clean Up Lost Product Other Total <br /> 0.01 0.01 <br /> IPS Admin I IPS Admin 2 IPS Admin 3 <br /> Employee.Name Employment Status Contractor Company <br /> Investigation Team DatefTime: 01/Jun/2008 12-00 <br /> Supervisor Responsible., Welimerling, Roshell A(WELR) <br /> Investigation Team Primary I Investigatio n- <br /> Investigation Team Member Name Contact I Team Leader Position <br /> Galassi, GM9 D Store Manager <br />