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Martinez, Genesis [EHD] copy <br /> From: Warning Center <Warning.Center@oes.ca.gov> <br /> Sent: Wednesday, April 12, 2023 3:06 PM <br /> To: Martinez, Genesis [EHD] <br /> Subject: Hazardous Materials Spill Report: Cal OES Control #:23-2581 <br /> Governor's Office of Emergency Services <br /> Hazardous Materials Spill Report <br /> DATE: 04/12/2023 RECEIVED BY Cal OES: Holly Lendl I Cal OES CNTRL #:23-2581 <br /> TIME: 1501 RECEIVED BY OSPR: I NRC#: <br /> 1.a. PERSON NOTIFYING Cal OES <br /> 1. NAME: HenryFontes 1 2. AGENCY: Waste Management <br /> 3. PHONE #: 209-313-4817 1 4. EXT: 1 5. PAGER #: <br /> 1.b. PERSON REPORTING SPILL (If different from above): <br /> 1. NAME: 2. AGENCY: <br /> 3. PHONE #: 4. EXT: 5. PAGER #: <br /> 2. SUBSTANCE TYPE: <br /> a. SUBSTANCE: / b.QTY: /Amount / Measure / c. TYPE / d. OTHER / e. PIPELINE /f. Vessel <br /> Over => 300 tons <br /> 1. Antifreeze / = / 4 / Gal(s) / CHEMICAL / / No / No <br /> ------------------------------------------------------------------- <br /> 2. <br /> ------------------------------------------------------------------- <br /> 3. <br /> ------------------------------------------------------------------- <br /> g. DESCRIPTION: RP stated that a hose broke from the water pump as the vehicle was servicing <br /> bins. The release went onto the pavement no waterways impacted and the rp did the cleanup. <br /> h. CONTAINED: Stopped I i. WATER INVOLVED: No <br /> j. WATERWAY: None I k. DRINKING WATER IMPACTED: No <br /> I. MARITIME VESSEL: No m. KNOWN IMPACT: None <br /> 3.a. INCIDENT LOCATION: 1801 Song Bird Place <br /> b. CITY: Lodi I c. COUNTY: San Joaquin County I d. ZIP: 95240 <br /> 4. INCIDENT DESCRIPTION: <br /> a. DATE: 4/12/2023 1 b. TIME(Military): 0707 1 c. SITE: Road d. CAUSE: Mechanical <br /> e. INJURIES: No f. FATALITY: No I g. EVACUATIONS: No h. CLEANUP BY: Reporting <br /> Party <br /> e. INJURIES #: f. FATALS #: g. EVACS #: <br /> 5. SUSPECTED RESPONSIBLE PARTY: <br /> a. NAME: Henry Fontes I b. AGENCY: Waste Management <br /> c. PHONE#: 209-313-4817 d. EXT: <br /> e. MAIL ADDRESS: <br /> 1 <br />