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PERSON NOTIFYING Cal OES <br />1. NAME: Al Avendano I 2. AGENCY: private citizen <br />3. PHONE #: 209-239-2926 I 4. EXT: I 5. PAGER #: <br />PERSON REPORTING SPILL (If different from above): <br />1. NAME: I 2. AGENCY: <br />3. PHONE #: I 4. EXT: I 5. PAGER #: <br />2. SUBSTANCE TYPE: <br />a. SUBSTANCE: / b.QTY: / Amount / Measure / c. TYPE / d. OTHER / e. <br />PIPELINE / f. Vessel Over => 300 tons <br />1. Sewage / = / Unknown / Gal(s)! SEWAGE / / No / No <br />2. <br />3. <br />DESCRIPTION: Caller sates a raw sewage is released from an unknown <br />source into weatherbee Lake. Caller states has been smelling in for the last few days and this is an ongoing incident.. <br />CONTAINED: Unknown if stopped I i. WATER INVOLVED: Yes <br />j. WATERWAY: Weatherbee Lake // San Joaquin River I k. DRINKING <br />WATER IMPACTED: No <br />I. KNOWN IMPACT: None <br />3.a. INCIDENT LOCATION: 1235 Williamson Rd <br />b. CITY: Manteca I c. COUNTY: San Joaquin County I d. ZIP: 95337 <br />4. INCIDENT DESCRIPTION: <br />a. DATE: 4/21/2021 I b. TIME(Military): 1200 I c. SITE: Residence <br />d• CAUSE: Unknown <br />e. INJURIES: No I f. FATALITY: No I g. EVACUATIONS: No I h. <br />CLEANUP BY: Unknown <br />e. INJURIES #: I f. FATALS #: I g. EVACS #: <br />5. SUSPECTED RESPONSIBLE PARTY: <br />a. NAME: Unknown I b. AGENCY: <br />c. PHONE#: I d. EXT: <br />MAIL ADDRESS: Unknown <br />CITY: I g. STATE: CA I h. ZIP: <br />6. NOTIFICATION INFORMATION: <br />a. ON SCENE: I b. OTHER ON SCENE: <br />OTHER NOTIFIED: <br />ADMIN. AGENCY: San Joaquin County Environmental Health e. SEC. AGENCY: <br />f. ADDITIONAL COUNTY: g. ADMIN. AGENCY: <br />h. NOTIFICATION LIST: DOG Unit: I RWQCB Unit: 5B <br />AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, COASTAL COM, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth <br />CONFIDENTIAL REMARKS: <br />Created by Warning Center on 4/23/2021 8:56:01 AM Last <br />2