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12-32-1999 3:29PM FROM ';AN JOAQJIN CO. DES 209 944 9015�a� C5 --P 2, <br />EMERGENCY RELEASE FOLLOW-UP NOTICE REPORTING FORNTi <br />B U S LNZ-&S N A�N Stockton :.-N., FAciLaYE.,�mwFNci, <br />Lh <br />Stockton C01%7ACT& PHONE PiUMB <br />A Sierra Chemical Co. Tom Kincaid (209) 983 <br />"T <br />ppe"_ 's <br />��,tYERGFAIpy� <br />OFS <br />oes hr tame} <br />B 1116 2 <br />INCIDENT MO DAY <br />tc DATE 1111 2161 191 NOTIFIED <br />YR 1413 1"NPL� 9 9 CON'TROL NO <br />9 9 9 5 <br />C=1CQNcvtuNrry <br />covN-ry <br />C X <br />INCIDENT <br />Stockton, CA <br />F E San Joaquin 95206 <br />'f 1010 Industrial Dr. <br />w <br />CHM4CAL OP, TRADE NAME (print or type) S Number <br />A <br />Chlorine 7782-50-5 <br />_ <br />CHECK IF CED,0CAL IS LISTED IN CHECK IF RELEASE REQUIRES NOTIFICATION <br />' A <br />40CFR 355.APPEN'DD, U.S.C. 19603(m) <br />. 1 2 PHYSICAL STATE CONTAINED PHYSICA., ED <br />j., STATE MEAS QVANTrrY RM EASED <br />0 SOLID Q LIQUID U GAS C] SOLID C _jQt.W l� GAS 907.8 Pounds <br />Oil �'4 TDvM OF REM.EASE OF RBLF�kSE <br />E�INMONIMNTAL CONTAMNA210 <br />DURATION <br />©CATER OTM 7: HOURS <br />AM CROUND DAYS <br />4 3 C <br />See Belov <br />::he <br />ive <br />ACTIONS TAKEN <br />Source (Railcar Isolated__ <br />Building & Area Secured <br />E <br />XN0ViN,'0RAN1nCI?A7ED HEALTH EFFECTS (thC :be mn=mts section for additional idmmatkm) <br />ACWEORIA-NMDL-%TE(cpiin) - Coughing, burning, chest pain, vomiting, head i <br />OR DELAYED (explLin) reduced breathing capacity <br />P'sCHRONIC <br />NOT KNOWN (explain) <br />REGARDING MEDICAL A=1,MON.MECTMkkY FOR SMIOSED INDIVIDUAIS <br />FADVICE <br />Inhalation -Remove to fresh air. If breathing is difficult, <br />rained person administer oxygen. If respiration stops have <br />trained <br />CO1%VVEE.VrS ININCATE SECTION (A-G)&ND UTZ:4 WITH COSUVaNTS OR ADD111ONAL INFORMATION <br />trained person administer artificial respiration. Get Medica <br />ji <br />y. <br />attention immediatelsad <br />COMMEN S: FZG- No Inuries <br />wit <br />CERTMCA71ON: I hereby cc%ify under pc=lty of 13w that have persmally cx=ipod acrd I w= familia with the <br />irZomitiod submitted ud balivve the submitted idor=6on is true, accurate, and 0onvIca. <br />P.WQRTINQ FACUXrY REFFZSENTAT11VE (priest or -j-.)c) Jeffrey Kinder <br />12-3-99 <br />DAM <br />::he <br />ive <br />