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TRANSCRIPT
Incident# 1I1/~'1:J;,W~ /s~~
.. DeltaKeeper Incident Report Form
1. 'InCident Name IlV~J1&..)}.4;n ... V4+1 -tJ//en2. Investigator (DeltaKeeper and/or other) R. p.pe-,.~
'.
GENERAL
3. Type of Report (Check one): Initial t..--"'.Followup__ . / /,'/) 1/ ,
4. Report / Update Recieved: Date '1t1 /~~~; Time 112. ,..,'0; By _CY=-.:....,....~ _5. How Recieved: Phone_; Radio~_lMail_,_; Patrol /./;Other _6. Type of Incident (Check One): Oil_; Dredging/Dumping_;Sewage_; Hazardous Materiaf_;Air_; Illegal Fill_; FishlWildlife _; ultiple Causes_; Commercial Shipping_; Other _(Describe): - ", dt:7 '
7. Agencies Contacted (and Contact Names): 120 '4-" s '?rR....-bI CU f2--(.AJ 'fe-a
LOCATION
8. General Location ( G~e name of river, slough, island, etc.) -IIVt?d1.. tf...... .A:t; 1(1
q::( V~I4I/~ r<,9. City orLandmark: A=S~C::..:4~~::,,::O~n~ _
, .
RESOLUTION12. _
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----~'I-,>~--------------
'-
DeltaKeeper Dairy Monitoring Project
yin
Time
water color__
Temp
SpC
CNDIEC __
pH
sampleyinsample
water color __
f?{ln
A- - \IcLt/) iJ;!<? /J
~I jv,'(/')
Tim,;eTemp / G.s:---'spt qt.jCjC~fEC 71) ,pH: )J ~.
wfter colo#-- t.nurJsample y / nJ
/, /
\" •.../
. LlJiS\~~~/f,."..7\1- <:) Site Site
I?.:~O Time
16.1-\ Temp
.305. D SpC
~I..\q.l CND/EC __
pH
. Ir. '" AtItR1~cU11t11JAIl
A\} w' I "'1' ..H,V1. /:Vi +Jrl .uSite Ci/Q .0/) t/ Site.,,! \ / a)'" ()M Si e
Time d i~aar1 Ti1e ~Temp 11,L{ Temp 11,1 Temp
SpC 11Drl SpC'~~1q ~ spdCND/EC 14<; G C~D/EC 3Tfr cNb/EC
pH ~/, ptf 5 I pa
i l' ",."" I J 1,,<; i ~ Jw~ter color ~ Uwater colo ~vv water color--, /--
sample y /hJ sam\ Ie 'I ~ ,§~ple y / €)b i~V155 I
ll!L? 477 /18r I~ J I III -. i/, rna rztr. JA' 3) 7(. PC;;-e.,("~
Samplin& Team: 1) -V,f.)J O}'\.Mr 2) 1\. . V ~L- . ,
-j',1£(L:loNl< ~~~ -A~ '!'U \( .k:~ ._tL .
Site &L Site ~~ Site UJWSUL~ Site-A~Gu-n,t-JolI Site 11- C n-o.-L~
1- A J.£./J ./ c.o~ d'f'-0 . ,Time '. ,'IV Time /0:0) Time /0,'/2.-- Time 1()I2.S Time 1r);30
o . /r../,~Temp I '31 I Temp {I .~ Temp /<:1. ;2- Temp /31 D Temp
SpC Ift, J>I- SpC· ~'f3 SpC 9/2 SpC /-f~61 ~ Spc Job -coCND/EC 130'7 CND/EC Ce?o CND/EC 7th:? CND/EC 3,;.$ 7 CNDIEC go:;$.pH 7. 'Y pH G, .C; pH /,/ pH 7--1 pH ?' d
.(j~r€SS(;>· I·t~ I/Je.l.hrt? I+(~~ .J I< /tt..uL4water color ~ water color-u water color water color b,p- () water colorU'-__' /)
sample sample y / t,2. sample y@ sample ~ sample y /&.r!tJ~ ! ",) 5i2~ 1!.4{)17J;s 1... ~ /)
'J). / J i,' () ,~\ 9: II} (7U /110/. '/ /, / J(,.
Si~ A/~ Site --ft. 'r)mVSite lA, ;(tJ-)Ji'>1~teT\~e ll'),' 3> Time /tJ" ;, 7 Time! /O:'jO time _,-,---~Tl, ~ TIT Temp j1/ 0/ Tem~ /7 , Temp / ), 9sJc l!1.ll pC I~ Spc I iffY; ~'pC i73)C~DIEC /j,L.(S CNDIEC J..2B- cNdlEc 7- Z. 0 'Z-/cNDIEC /Lf33PH\ (P, I . pH .~ pH \ ;7:1- pH s: 0, --:
wate~ol~0Vl'1 ater co.~~. wate color waterc~. 'ito so I~ -I : FP;;,'~:
sample . / n ~ample./~ y / n (i1 n sample {j) n .
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s: - -- .~._-
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NELSON I
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rrr." 0
2/I> ;0-1:0 Z~ ~
JJ(J)rrr
ALLENrrr
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·, DeltaKeeper Incident Report Form
1. Incident Name Ilue f1,d-- '7<() h 0-")50 Y1 . Incident# i.//-; /7;2. Investigator (DeltaKeeper and/or other) R. Pie i 4-r I J. LU'C:J7'(::~,
, I
GENERAL
3. Type of Report (Check one): Initial ~Followup__ /4. Report / Update Recieved: Date 7ffiItj6 ;Time 1f),"3,} ; By _J):::::::J:-VC_(.-.- _
5. How Recieved: Phone_; Radio_; Mail_; Patrot.-; Other _
6. Type of Incident (Check One): Oil_; Dredging/Dumping_;Sewage_; Hazardous Material_;Air_: Illegal Fill_; FishtWildlife _: Multiple Causes_: Commercial Shipping ~ther _
(Describe): .d...M r:-t ~~-L-
7. Agencies Contacted (and Contact Names): _--=-/-o.....::......_U_t_~s~A.....:;--c._--bt~__c_u_R_w--:.t?_c.._t5 _
LOCATION8. General Location ( Give name of river, slough, island, etc.)
9. City or y'Landmark: ----:~:::.....::.._s_c::_v--f_<:JY>. _
10. Precise Location (Le. Latitude andlongitude) A () e-vt.-C<...- RtJ- a...+- KeY!;' y;Sc;YYl :j?12.. Qh $~ f-<.-k- t /IUJL ~1.A-, ~.c!.
RESOLUTION12. _
" '.DeltaKeeper Dairy Monitoring Project
yIn
f?i.'//l
A - VM1,4;!~/1./
Iv,'if)
j(.,,)
qLj9./
71) \)7 c..a.
Temp
SpF
ctnlEC
pH:I °
wfter cOI.¢L ~unJ~ample yin
Site
water color__
Time
Temp
SpC
CND/EC __
pH
sampleyInsample
water color __
.~DY) .N1..t1/lDi.).-{,Vl •
SiteJ \/~ tiM Site
Tinie ~ Tit"Temp 1/ ,Lf TeJnp I~/1 Te~pSpC IJ Dr I sp,t .~.~~q~ spa
CND/EC 14< Lp C~D/EC ~ cNb/EC,f , '
pH ~, p~ 5, pH.K: \ OJ /
w:-ter ~old(l'lA.t\~ water COI0f!J; 'jater color
sample y lfu) sam\ Ie 'I ~ ,£ample y I @~ L<::,V155 ,--
I \ 0
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1:> WAGNER</T1
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NELSON I
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ALLEN U'l
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8fRTOLOMEI/ (J) \A
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G)
yTANLEY0 IJ !>~ 0 :EcX~ 0 '11 Z,(J)
~ rrl 1-.8RENNIAN .-6.°~
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ESCA LON - BELLOTA~
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c} ~iJ<rn
/ ~,. ....CAMPBELL rTl
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ueltaK.eeper
'-. 1. Incident Name -:i.~.=tUrl~!!!::d.-::::::'-:.../..}.~~~~i:::.J~~~~"::::":::~~2. Investigator (DeltaKeeper and/or other) __-L....:L.L-=:...!...J:::~..:..-....:.4----:..;::......:.;...:.rr~:::....-~....u...:-:.:...~~r
"'1i.') "It ,
GENERAL
3. Type of Report (Check one): Initial V7
F91~owup4. Report I Update Recieved: Date LI~l,Hi: Tim0'£(O ; By _~lk-~'=-_' _5. How Recieved: Phone_; Radio_; Mail_; Patrol..k::::;'Uther _
6. Type of Incident (Check One): Oil_; Dredging/Dumping_,_;Sewage_; Hazardous Material_;Air_; Illegal Fill_; FishtWildlife _; MUltiple Causes_; Commercial Shipping~her ,.~~CY-(Describe): -:- ---"~
7. Agencies Contacted (and Contact Names): _....:.J--;Uj_·.::-=.~:s----:f;:...--~ GU_R-_'-<.J__=_~_~ _
---
LOCATION
8. General Lo~ion ( Giv~ame of);i¥er, slough, island, etc.)~)Cl ct<-- lor7~ "/f'd a-L Ih t.rtpt-jJ
rJ)-iJa-u·/L 1--Jt, J ;...
Kat,
9. City or r.k.< t', ~~ e;J.-,Landmark: / _
10. Precise Location (i.e. Latitude andlongitude) _
---..",....,~::=....._. ------------------------7'"
RESOLUTION12. _
DeltaKeeper Dairy Monitoring Project
yin
Site
Time
water color__
Temp
SpC
CND/EC
pH
sampleyinsample
water color--
..
. Ir..t\ Alltp1~ ay11t{11JIIA\}Ll/, I "'/' .H,Vl .
1)' +iJl J.)
S· ~ .,v fnu.J ; / A Y tJJAIte 0:0. T;; pJ/ Site; ~.,(J/I.. Si e
d i ~(,l/taYIi.Time Ti.rie Ti e
!Temp II, '-I Temp I~,1 Temp
SpC I7U r J sp,t '~"1qq~ ~ spJCNDIEC Il.f\ (; C~DIEC ~ C$IEC
pH ~,I pIt 5, pW
water ~r.eW"'\0D wate~ eOlo~ ~iter color
, .•ple y flnJ sam~e Jk'0'5SrPle y flYC7 V'
5/~~)'c5//u
r l: 477 /18- r I~ J J '0-...". ~ j/ (h{) ~r. J_. 3) 7(. P\e,'(e-vSamplinaTeam: 1) -V,{;LI fl'\ 2) 1\. . v~L-. . . '
JA£iL'!OI\l£' ~~~ -A hLL~ ~J4" \(. /cwi-_, tL "
Site &L Site ~'Site WWSUL~ Site-A~ 0t.rro(40n Site A~-C ~fr::rrJq 'L£./J /0 (/ C:ov~ f~ ,b; 30Time i _1'7 v Time / I ,'0) Time 1t2 .'1 z.- Time ID\;;"2 Time . ./'
Temp I '311 Temp (1·9 Temp /c1. ;2- Temp )3,0 Temp It../., ':>
SpC I~1+ SpC ~'f:3 Spc 9/9' SpC /-j.~~,i SpC 10 0 ~CNDIEC 130'7 CNDIEC Ce2<J CNDIEC 7.10 CNDIEC 3d-.S 7 CNDIEC gC5 5pH 7, 'Y pH (p') pH /,/ pH 7-1 pH ?,;j
water e-;;~~' water COI~t~ water -;r.t;t ,f.:n, water cOlo)+bn:;~ water eolorik ,)lUL~sample " sample y 1&. sample y@ sample~sample y Itf}f~n7C{ :;;12, t;h:;:s fee Mal P~1l ,4JoUJ • \
Si~'i~ ~, 'le A-_Vat71i7U1;it~ A _/::';;I<,~Ti~e ll!J~" '3'> Time /tJ.1 '37 Time /O:fo ~ime /O:L/)- Ti~e !v:(/)/
..- !'lP fIT Temp /1, e,t TemJ I Z ?? femp /? q Te.bp Ie, ,jsp,c lE:ll pC 1Ql'[ SpC I tt!IJ'l SpC 173) spt qLJ9C~DIEC /J,L-/« CNDIEC J.2fL CNDIEC ~z.t? 2.. CND/EC /'-/33 crtmfEC 71( \PH\ 1,0, I pH . 0:l.- pH \ J z.. pHS. O. ~ P¥ )i 0:-wate~ol~bVJ.1 ater c~~~, wate color__ w;ttercn~~_ wLter colo~ ~u~
'ho ~ I ~ I ! /lEt-"~. rsample . I n ~ample/"~ yin sample {j) n· ~ample yin
/I
\, //
i6\~ "~/t--,. ~. t) Site
1)..~)O Time
1t).I-\ Temp
30s.{) SpC
~'1q.2 CNDIEC __
pH
"'"I
\)
ESCALON - 8ELLOTA
STOW
Gl1>:Ezrn
f\TEMPLE I CREEK
~(fl
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WAGNER
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MURPHY
RIPON'
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CARROLTON / LTON
Itr0
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r C rT1rT1 VON GLAHN (J)
:0 -f::I:Z
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OJ '\c r1>
co n:0 ".:s:::0 0
:0 )XTON rn
:E n~:0r r
r ( 0l> BEELER 0:s:: 0
0(fl , (fl
BRENN1AN
DAHLIN )
ST.00<rn
J~
CAMPBELLT1 -\ rnn ~ 0 I
1'1'\ :E (1'1'\ 1>(J) r :0-f 0- 0 71> Z (fl-f rnrn "-,
I, n
(1>
r I :0) rn " -fl -fJ ~ rn
~(l rn
• 0 SEIDNER r ; :0. Z r
rn\) :0 -< .. ),
< 0 GlC
.l. Jz -f :00')HENRY 0 HENRYrn rn - 0 "»~
SUTLIFF ) :s:: I T(J) -<,.Y
·n ENTERPRISE I0 '\:!: :0
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:0 VICTORY
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1
DeltaKeeper Incident Report Form
1. 'Incident Name All ~.t-'l CL /)r-et ~ .Y'"I Incident# '1- j--= :::; f2. Investigator (DeltaKeeper and/or other) _~,--"O~ -;---,-,,-,-~..:o.-r--,.f-._J-,/1~-,C)=·_/--,/?=""T
GENERAL
3. Type of Report (Check one): Initial ~Zwup--4. Report / Update Recieved: Date . t? ; Time ;.t!'30 ; By 1(. P-I'e" ~".....5. How Recieved: Phone_; Radio_; Mail_; Patrol~Other _
6. Type of Incident (Check One): Oil_; Dredging/Dumping_;Sewage_; Hazardous Material~
Air_; Illegal Fill_; FishlWildlife _; Multiple Causes_; C;;ommercial Shipping_; Other :J;);i,.~ wt;..S CZ(Describe): d/~dCkr-r.e..:z{:> I1/Je.-J1........ )),-u;..., .
7. Agencies Contacted (and Contact Names): _
LOCATION8. General Location ( G~ nan;e.~ river, slough, island, et~ -IJ iJe114: lJl-4' "/\ IJ~-h-u (l fP......
..JC! r:.k /n I') e Xc/. Ci- nd 6re n nCi. n f?c/.
9. City orLandmark: -_C_S_c_,_"'.._--I_,Cl_/}_. _
10. Precise Location (i.e. Latitude andlongitude) _
_ ~.L.=::.=:.....:- ---:.~~---=::..=--!-~~~~~--=:::::..:.-.--=~.=.:..~-=-.::....:.-::=----~-=-==-- ,r~~~...::::::::::::.-.=¥-::::::..:...!.~~:......f;!~~~~~{,l..L~..!...::.:.~:.:..:.:::;L~~~~~~l(d
12. _
DeltaKeeper Dairy Monitoring Project
r "e: L} - 'S"- C19sam-Plina Team: 1) R.~~
£\-2B
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A9. ~ N5D{Bite
~:6t) Time
2.Qd Temp
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51): CND/EC
l.5r pH
Temp
SpC
CND/EC
pH
2) M;J-£I7!V UN.::v3) _
~l()'3~l;4-2AS)OI~me3:00 Time
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Site
Time
Temp
SpC
CND/EC
pH
A--/42:L\S2-1,0(Yl ()1122-ll
Time
Temp
SpC
CNDIEC
pH
Site
Time
Temp
SpC
CND/EC
pH
Site
water color water color water color__ water color--sample yin sample yin sample yin sample yin
"t.:V'lD ~~l"j (wes+5~1 e Brre~~ ~'ifLj, &A, )
',-tPIV l4 ~J-l rh1-SiteJ -7 1.[ i
1(- 2 ' Site Site Site
Time 3:20 Time )" 'J I, i,' 3.,-• .)V Time Time'/7 . Temp 2D..t:; Temp 221C:? Temp"Up '- "(v
SpC 115it, SpC 3icY,C' SpC 3~\y,S"'- SpCCND/EC 12. 35, CND/EC 31..\ (,t.) CNDIEC 332.<-J CND/ECpH 1,5< pH <'f,,)
pH 7, )" pH
water color-- water color water color__ water color
sample yin sample yin sample yin sample yin
water color__
sample y / n
Site
Time
Temp
SpC
CND/EC
pH
water color__
sample yin
Site L~ Site ).,_-1.\Site Site Site
Time '3 ,: ~O Time .l.{;oD Time Time TimeTemp i'if I (~% Temp JYd Temp Temp TempSpC 20'7;0 SpC .2-\ Co,O SpC SpC SpCCNDIEC 111/1 CNDIEC \~J,3 CNDIEC CNDIEC CND/ECpH pH pH pH pH
water color-- water color water color-- water color water color__
lple yin sample yin sample yin sample yin sample yin
DeltaKeeper Incident Report Form
\. Incident Name Ill/erta DrtZ/'n- 2 hU1S0 '1 Ret,: 'Incident# 3/z-r/c;~2. Investigator (DeltaKeeper and/or other) 72(j)~b eel 1? P-PCi k""" R £, ~k-
GENERAL3. Type of Report (Check one): Initial V Followup_4. Report / Update Recieved: Date '3/t.s-j~'3; Time L() :47; By d6~~ I/JV~Sf-/J~rs .
5. How Recieved: Phone_'_; Radio~;'Mail_._; Patrol.:>" ; Other _6. Type of Incident (Check One): Oil_; Dredging/Dumping_;Sewage_; Hazardous Material_;Air_; Illegal Fill_; FishlWildlife _; MUltiple Causes_; Commercial Shipping_; Other _(Describe):'· .' '7J/uiy 0t5~At- .
7. Agencies Contacted (and Contact Names):' rI.//UU 8:-~ bFbj I o?5
LOCATION
8. General Location ( Give name of river, slough, island, etc.)II VCI14.- Dru; n
/!vel'1U RPI ~I 'Rob//? ~~ n~~ s/dv o--P- ;Z;tI ~<A,.. Rei
9. City orLandmark: tV~.-1--If--=b=....::-.>-=-~----=--o=-n---.:- _
10. Precise Location (i.e. Latitude andlongitUde) --
11 . ;fe-ad 3 70 r-.sa (;"2;:;')..../0 k
DETAILS OF INCIDENT
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STATE
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AYERS
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DeltaKeeper Dairy Monitoring Project
Site Site Site Site
Time Time Time TimeTemp Temp Temp TempSpC SpC SpC SpCCNDfEC CNDfEC CND/EC CND/ECpH pH pH pH
water color__ water color water color-- water color
~ _.nple yin sample yin sample yin sample yin
Time
Temp
SpC
CND/EC __
pH
water color__
sample yin
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.'..I DeltaKeeper Incident Report Form
~==I=~~~~I..L..JJ~-::::""'.1...I_' .L:.D...::::::.::::L::..:::k:::..--....!-'70~r\JL~=--_ Incident# 3/ro/Q?fr I
GENERAL3. Type of Report (Check one): Initial /' Followup__4. Report / Update Recieved: Date ; Time ; By _5. How Recieved: Phone_; Radio_; Mail_; Patrol_; Other _
6. Type of Incident (Check One): Oil_; Dredging/Dumping_;Sewage_; Hazardous Material_;Air_; Illegal Fil1_; FishlWildlife _; Multi Ie Causes_; Commercial Shipping_; Other ;Qy,I\':'\ 0, ~ho1c5(Describe): tl e.C.
7. Agencies Contacted (and Contact Names): _
LOCATION fl-1-8. General Location (Give name of river, slough, island, etc.) IlUfI1({ DalY'- 'J("ck k;JL-)11-:'J "two Ovil(J - Ht.of?lJ-lf-l2J=--l)i-J8w...'_-~ _
9. City or ~.
Landmark:_C__·~~C'='O~(-'=o:.....jn'___'__'_li\_'__"_'6m"-'---"-._
1O. Precise Location (i.e. Latitude andlongitude) _
DeltaKeeper Dairy Monitoring Project
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DeltaKeeper3536 Rainier Ave., Stockton, CA 95204
(209) 464-5090, Fax (209) 464-5174
MEMORANDUMTo: Office of Emergency ServicesFrom: Robin Kirk, Project Director, DeltaKeeperDate: March 18, 1998Subject: High EC readings in Escalon dairy area
DeltaKeeper, a volunteer water quality monitoring group, has been monitoring Temple, Avena and
Lone Tree Creek in the &calon area east of Jack Tone Road on a regular basis. High Ee readingsover 1200 are being reported to Fish and Game, Louis Pratt at the Regional Board and OES.We hereby submit the attached readings and map for your action.
Please call us with any questions you may have.
Robin Kirk464-6368
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DeltaKeeper Incident Report Form ;:/I:
Incident Name: /}- 2 t/'Ie+1 t<.- Drd./>7 - &rn /-10 /7 /:(d. Incident# 2h ;r(,( :0Date: 3!#Cjr Day of Week: ZUedni'sd..&j. Time: . //:08 JInvestigli'tor (DeltaKeeper and/or Other) ]) wCZJoifi R. p.re,. f}e r i K. L/~k.,
. GENERAL4. Type of Report (Check One): Initial av,F'ollowup 05. Report /Update Received: Date: . ~!V 1£ ,Time:.--,/__,_'!_.'-=-(}~-=_6. How Received: Phone 0, Radio O,M;] 0, Patrol 0, Other '/t-;' Vi?.f ;' ~7;?O 7""')
7. Type ofIncident (Check One): Oil O,DredginglDumping 0, Sewag 0, Hazard s Mate.rial 0, Air 0,Illegal Fill 0, Fish/Wildlife 0, Multiple Causes 0, Commercial Shipping 0, Other .JJ:l/0;I c/ltdztlf1e....
(Describe). LI
8. Agencies Contacted (and Contact Names),-;-..Ll.JY9'L.J£.~~~fd'=__;t.~~:::!=::!7'_l-.!L~.L..::..L..::.~~'£...!jL--~ {)u/s;:ra-#
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3.
Address:
. LOCATION.9. General Location (Name of River, Slough, Island, etc.) _--'-Il..:....!:..tI.::.e~r.!....:::1a:._....:::J::::.~~'~.~/~n!- _
10. City or Landmark: --:-:::--------::.---..£=...~c.=.<~!..L--__r-..."....__,,__:_r.....,....__r'r_--.,_.,...-_rr7'f_-11. Precise Location (i.e. Lat.& Long.),_~~'.LSd___!::!;L..~L...L..r~~'L.:.....:::...:-.:...:...:~:..:.....,~~.....L-.!::....:..!...!:::..~~-=---
CONTACTUNFORMATION12. Information about Person Contacting Us:
a. Person's Role (Circle One): Reporter, Investigator, Agency, Witness, Info. Source, Sample Analyst,WQ Monitor, hotographer, Other_---,.-_---;,.-- _
Name: J. . J., .' - V'~UA
Phone Number (s): _O.K to Use Contact's Name as Case is Developed? Yes 0, No 0 '
13. How did Contact Hear of Us? rIJ (,l../z h -<..- 02071 /-Ivr/ fi-q\/
17. Quantity: -..". ..,.-_-,-- _18. Area Affected:_-LJflu..II~(JJ:.iJ...1.!::1ti~2)~N_""_L/L:r..L_ _
19. Resources at Risk: _
20. Other WitnesseslPotential Corroborating Evidence: .[). &U~i"l u-/ 1(, p.1-~,·.j:.e.ro21. Weather: $u n rvy. Q 1-eCi.-V
Tides: tV1-19; Marine Conditions:,_~/lJ~!-<-J9-~·' _
SOURCE22. Suspected SouTce; Primary:._p2{::....=....:::~..:..Iu.:.:..:.;.....:'e...=__.:d::.:..:...I-..:::4.~/__'_'/l..:..a.=.:r_,f'-~----------- _
Secondary: '23. Cause: d.cl/h.z c ct-1-'0 dis cfz.a.rq.e.- -It> Mi d)f.c..h (;t,rtrl<.2'1 NC0pe abc/2.<..-r- 10//d/CjJrJ
T r::t ". ~ EVIDENCE /
24. PhotoNideo Taken: Yes , No 0; Requested: Yes 0, No ; Number (s):, ; Available: Yes 0, No 025. Samples Taken: Yes ,No 0; Requested: Yes 0, No 0; Number (s):, _
25. Analyzed: Yes ,No 0; Lab Name:~~~:::!.I..!...!::.{~t:=l!..:::::.e.~...z.r=_~=:.:=_=_-....!...:.....:...:te=--.::.:..:~.:::..:..:....:-.:..=..-=::.!::....::.-=-----===:....:.~L .26. Environmental Permit: Yes 0, No IB;' Agency and Permit Number: _
27. Conditions ofPermit: _
(Over for Details and Resolution)
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