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pP�U(N •.C` SAN JOAQUIN COUNTY - OFFICE OF EMERGENCY SERVICES <br />REVIEW <br />HAZARDOUS MATERIALS DIVISION <br />a: <br />" 222 East Weber Avenue, Room 610A, Stockton, CA 95202 <br />DATA ENTRY <br />Telephone (209) 468-3969 <br />D roth <br />lamo <br />HAZARDOUS MATERIALS INCIDENT REPORT <br />DATE <br />REPORT TAKEN BY <br />TIME REPORTED <br />TIME ON SCENE <br />INCIDENT NUMBER <br />8/1/96 <br />M Parissi <br />1145:00 <br />1220:00 <br />IR -00251 <br />REPORTING PARTY/ADDRESS <br />TELEPHONE NO. <br />Fox River Paper 942 S Stockton St, Ripon <br />209-599-4241 <br />INCIDENT LOCATION ADDRESS <br />CITY <br />ZIP CODE <br />942 S Stockton St <br />Ripon <br />95366 <br />REPORTING INFORMATION <br />FIRE DISTRICT <br />Sodium Dithionite reaction, material reacted w/ water. <br />Ripon FD <br />WEATHER <br />Clear 95 Degrees <br />RESPONSIBLE PARTY/ADDRESS <br />TELEPHONE# <br />Fox River Paper, 942 S Stockton, Ripon <br />209-599-4241 <br />RESPONSIBLE PARTY REPRESENTATIVEIOWNER <br />TELEPHONE # <br />Dennis Abrahamson <br />209-599-4241 <br />INCIDENT TYPE <br />Fixed Facility Release <br />PROPERTY INVOLVED <br />Private <br />AREA IMPACTED <br />CONTAMINATION <br />Industrial <br />EVACUATION <br />INJURIES <br />N/A <br />VEHICLE(S) INVOLVED <br />VEHICLE LICENSE NUMBER(S) <br />VEHICLE OWNER(S) <br />N/A <br />SHIPPER'S NAME TELEPHONE# <br />CARRIER'S NAME TELEPHONE# <br />1. CHEMICAL NAME TRADE <br />NAMEIMANUFACTURER <br />Sodium Dithionite <br />CAS # <br />DOT # <br />DOT HAZARD CLASS <br />PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br />7775146 <br />11384 <br />14.2 <br />Solid <br />IDENTIFICATION DETERMINED BY <br />Label, Company Representative <br />CONTAINER TYPE <br />CONTAINER CAPACITY <br />CONTAINER MATERIAL <br />QUANTITY RELEASED <br />QUANTITY REMAINING IN CONTAINER <br />Plastic <br />--- <br />300 Lbs. <br />2. CHEMICAL NAME TRADE <br />NAME/MANUFACTURER <br />CAS # <br />DOT # <br />DOT HAZARD CLASS <br />PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br />IDENTIFICATION DETERMINED BY <br />CONTAINER TYPE <br />CONTAINER CAPACITY <br />CONTAINER MATERIAL <br />QUANTITY RELEASED <br />QUANTITY REMAINING IN CONTAINER <br />3. CHEMICAL NAME TRADE <br />NAME/MANUFACTLIRER <br />CAS # <br />DOT # <br />DOT HAZARD CLASS <br />PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br />IDENTIFICATION DETERMINED BY <br />CONTAINER TYPE <br />CONTAINER CAPACITY <br />CONTAINER MATERIAL <br />QUANTITY RELEASED <br />QUANTITY REMAINING IN CONTAINER <br />Page 1 HMIR COMP REV 3/9216 <br />