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CHANGE 1 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT OES 1/91 DELETE2 <br /> A AGENCY NAME AGENCY ID NO, INCIDENT NO. AGENCY TEL NQ. OES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-00737 (209)468-3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED <br /> B DATE COMPLETED <br /> 10/3R 98 If DIFFERENT FROM <br /> JINCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY <br /> C 1501 N Jack Tone Rd ZIP <br /> Ripon San Joaquin <br /> ED <br /> ffETEMP PROPERTY USEAREAPROPERTY MANAGEMENT <br /> NOWN 500 Mercantile,Bus 650 Agricultural Private <br /> RELEASE,FACTORS TYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 99 See Comments Page 97 Vehicular Fuel System 20 Freight Veh/Road <br /> ACTIONS TAKEN <br /> F 98_No action taken <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Diesel <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED NVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> 2 Liquid 2 Liquid Unknown Unknown <br /> 6 Property of,Origin <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> 1,Fixed 21 Tank or Silo 1 I Ground Level 2 Aluminum & Alloys Unknown <br /> G <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> NIA <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> T <br /> THAN 2 SUBSTANCES INVOLVED? ❑Yes ®No <br /> IONAL INFORMATION <br /> LA B C D <br /> SPECIAL 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D <br /> I <br /> STUDIES LOCAL STATE <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF *OF <br /> J 99 See Comments Page 98 No Reference DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 0 0 0 <br /> AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> EHICLE MAKE/YEAR VEHICLE LICENSE NO. STATE VEHICLE ID NO. (VIN) CA/DOT/PUC/ICC N0. COMPANY NAME <br /> K Unknown <br /> L [EIORTING OFFICER NAMEAD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> Parissi, OES8 11/12/98 Yes <br />