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CHANGE t <br />CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT OES 1/91 DELETE2 0 <br />A <br />AGENCY NAME <br />San Joaquin OES <br />AGENCY ID NO. <br />39807 <br />JINCIDENT NO. <br />XSJ-00974 <br />AGENCY TEL NO. <br />(209) 468-3969 <br />OES CONTROL NO. <br />99-5058 <br />77 Chem Processing Equip <br />1017 <br />INCIDENT DATE <br />TIME NOTIFIED <br />TIME COMPLETED <br />DATE COMPLETED <br />PHYSICAL STATE <br />B <br />11/26/99 <br />EXTENT OF <br />If DIFFERENT FROM <br />RELEASED <br />I <br />RELEASE <br />INCIDENT DATE <br />3 Gas <br />907.8 lbs <br />INCIDENT ADDRESS/LOCATION <br />9 See Comment <br />CITY/COMMUNITY <br />CONTAINER DESCRIPTION <br />COUNTY <br />ZIP <br />CONTAINER MATERIAL <br />C <br />1010 Industrial Drive <br />E_I <br />1,2 Fixed & Pressurized <br />Stockton <br />San Joaquin <br />95206 <br />D I 0 UNKNOWN 600 Industrial, Utility 600 Industrial, Utility I Private <br />ACTIONS TAKEN <br />F 99 Other Report only <br />RELEASE FACTORS <br />TYPE OF EQUIPMENT INVOLVED <br />MOBILE PROPERTY TYPE <br />E <br />30 Failure to Control Hazmat <br />77 Chem Processing Equip <br />1017 <br />ACTIONS TAKEN <br />F 99 Other Report only <br />CHEMICAL OR TRADE NAME <br />DOT ID NO. <br />DOT HAZARD CLASS <br />CAS NO. <br />Chlorine <br />1017 <br />2 Gases <br />I <br />7782-50-5 <br />HYSICAL STATE <br />PHYSICAL STATE <br />QUANTITY RELEASED <br />ENVIRONMENTAL CONTAMINATION <br />EXTENT OF <br />TORED <br />RELEASED <br />I <br />RELEASE <br />2 Liquid <br />3 Gas <br />907.8 lbs <br />1 Air <br />9 See Comment <br />CONTAINER DESCRIPTION <br />CONTAINER TYPE LEVEL <br />OF CONTAINER <br />CONTAINER MATERIAL <br />CONTAINER CAPACIT <br />1,2 Fixed & Pressurized <br />24 Machinery or <br />9 See Comments Page <br />30 Above Ground <br />G <br />Process <br />CHEMICAL OR TRADE NAME <br />DOT ID NO. <br />DOT HAZARD CLASS <br />I CAS NO. <br />PHYSICAL STATE <br />PHYSICAL STATE <br />QUANTITY RELEASEDENVIRONMENTAL <br />CONTAMINATION <br />EXTENT OF <br />STORED <br />RELEASED <br />RELEASE <br />CONTAINER DESCRIPTION <br />CONTAINER TYPE LEVEL <br />OF CONTAINE <br />CONTAINER MATERIAL <br />CONTAINER CAPACIT <br />MORE THAN 2 SUBSTANCES INVOLVED? ❑ YES ❑ NO <br />ADDITIONAL INFORMATION <br />H <br />LA BCD 2. A B C D 3. ABCD <br />4. A B C D 5. A B C D 6. A B C D <br />I <br />SPECIAL <br />STUDIES LOCAL <br />STATE <br />USE <br />HAZMAT IDENTIFICATION SOURCES <br />HAZMAT CASUALTIES <br />PERSONNEL <br />REFERENCE MATERIAL <br /># OF # OF # OF <br />J <br />99 See Comments Page <br />99 See Comments <br />DECONTAMINATED INJURIES FATALITIES <br />RESPONDING <br />Unknwn Unknwn Uknwn <br />Page <br />AGENCY PERSONNEL <br />OTHERS Uknwn Uknwn Uknwn <br />EHICLE MAKE/YEAR IVEHICLE LICENSE NO. STATE EHICLE ID NO. (VIN) CA/DOT/PUC/ICC NO. COMPANY NAME <br />K <br />N/A N/A N/A N/A N/A N/A <br />OFFICER NAME/ID NO. (PRINT OR TYPE) <br />DATE <br />COMMENTS ATTACHED <br />L <br />IREPORTING <br />A Bentley, OES5 <br />12/10/99 <br />YES <br />