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. 12-22-2006 (10:43 From-OES HQ kENTO W/C 916-845-8910 T-597 P.001/001 F-670 <br /> Q rr h;,S; GOVERNOR'S OFFICE OF E .GENCY SERVICES <br /> Hazardous Materials Spill Report <br /> DATE: 12/22/2006 RECEIVED BY: CONTROL#: <br /> TIME: 1025 OES• Randy Gonzales OES- 06-7528 <br /> OSPR- NRC- <br /> La. PERSON NOTIFYING GOVERNOR'S OF$: <br /> 1, NAME: 2. AGENCY: 3. PHONE#: 4.Ext: 5. L <br /> Heather Grove City of Manteca 209 239 8344 Jl <br /> I.b. PERSON REPORTING SPILL(If different from above): <br /> 1. NAME: 2. AGENCY: 3. PRONE#: 4.Ext: 5.PAG/CELL: <br /> 2. SUBSTANCE TYPE: <br /> 2,a.SUBSTANCE: b.QTY:ax Amount Measure e.TYPE: d.OTHER: <br /> 1.Chlorinated effluent = 62,500 Gal(s) OTHER water <br /> Water <br /> 2. <br /> 3. <br /> e.DESCRfPTION; Accidental discharge of chlorinated effluent during start up of discharge to river.The <br /> chlorinated water was contained and treated inside the pipeline and did not reach the river. <br /> f.CONTAINED: Z.WATER INVOLVED: h.WATERWAY: i.DRINKING WATER IMPACTED <br /> Yes No <br /> 3. a. INCIDENT LOCATION: 2450 W Yosemire Ave <br /> b.CITY: c.COUNTY: d.ZIP: <br /> Manteca San Joaquin County <br /> 4.INCIDENT DESCRIPTION: <br /> a,DATE: 12/21/2006 b. TIME (MINary):0937 C.SITE: Other <br /> d. INJURIES# e.FATALS#: f.EVACS#: g.CLEANUP BY: <br /> 0 0 0 n/a <br /> Same as 41."PERSON NOTIFYING OES" <br /> 5, SUSPECTED RESPONSIBLE PARTY: <br /> a.NAME; b. AGENCY: c.PHONE#: d.EXT.: <br /> Heather Grove City of Manteca 209 239 8344 <br /> e,MAIL ADDRESS: f.CITY: g. STATE: It.ZIP: <br /> CA <br /> 6. NOTIFICATION INFORMATION: <br /> Ia.ON SCENE: b.OTHER ON SCENE: cc..'OTTHB R NOTIFIED: <br /> d.ADMIN.AGENCY: San Juagwn Couney Emergmey Service e.SEC.AGENCY: <br /> f.NOTIFICATION LIST: DOG Unit: RWQCu URI[: 513 <br /> Iu AAICUPA- -- �I USFWS L. otic-mu. .——I1,- FOOP&AO u 051M L�--J USCG <br /> V`� <br /> FO <br /> Li MR RESOURCES su IJ POG `_I LANOS C J PARKS&REC �._I U3P01 <br /> nC OTSC I J CALTRANS (L1 Be PARNS LJ OF.i nAZMAIUNIT L PUC L_ oTP:ER <br /> RWQCO D COF L kMSA L�OBS PLANS UNII' I.J SFM <br /> ,A 20 <br /> n `l COASTAL COM I.]PBMA — OLS RCG U USMMS— — — - <br /> t � 1MI NUW' d �tS Nr�� �I"a1'` <br /> �Ud�tt�h ��VI✓ Sou Mi S►tl1 W("1i <br /> ✓ �N !I 6v! !N YIdG✓ U t gi,,)tJWttvi � � y�rI �f j Well- . ;� ! 22j j s <br />