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State of California-California Environmental Protection Agency Department of Toxic Substances Control <br /> OFF—HIGHWAY EMERGENCY REMOVAL INCIDENT REPORT <br /> DTSC Duty Officer: Michael Pixton ERER#2015-01-06 <br /> Date of Incident: 1/20/2015 Time: 0930 <br /> Address: Jack Tone Rd. .2 mi. south of Comstock Rd Zip: 95236 <br /> Descriptive Location: County right of way along Jack Tone Rd., adjacent to a walnut orchard in rural San <br /> Joaquin County. <br /> HAZARDOUS MATERIALS ATTACH ADDITIONAL SHEETS IF NECESSARY <br /> SUBSTANCE QUANTITY HAZCAT RESULTS <br /> Waste Paint and Paint Related Material Approx. 15 gallons Flammable <br /> RESPONSIBLE PARTY (NAME,DRIVER'S LICENSE NUMBER, DATE OF BIRTH,VEHICLE REGISTRATION NUMBER,ADDRESS, PHONE): <br /> Unknown. <br /> DESCRIPTION OF MITIGATION MEASURES (ISOLATION, EVACUATION, CROWD CONTROL): <br /> Isolate investigate field analysis notifications and removal to safe storage area. <br /> REPORT BY: Robert Lopez TITLE: Hazardous Materials Specialist <br /> OFFICE PHONE: (209) 953-6214 AGENCY: San Joaquin County Environmental Health <br /> I CERTIFY THAT THIS INCIDENT REQUIRED IMMEDIATE CORRECTIVE ACTION NECESSARY TO REMEDY OR PREVENT AN EMERGENCY <br /> RESULTING FROM EITHER A FIRE,AN EXPLOSION,OR HUMAN EXPOSURE HAZARD US SUBSTANCES: <br /> SIGNATURE: <br /> DTSC 1203 (8/02) <br /> State of California-California Environmental Protection Agency Department of Toxic Substances Control <br /> OFF-HIGHWAY EMERGENCY REMOVAL WORK LOG <br /> Date(s) of Removal: 1/20/15 and 2/2/15 ERER# 2015-01-06 <br /> Location of Removal: West side of Jack Tone Rd. .2 miles south of Comstock Rd., 95236 <br /> Contractor: PARC Specialty Contractors Phone: 916-992-5405 <br /> Contractor's Representative: Justin Duke <br /> Time of Contractor Arrival: 0900 Time of Equipment Arrival: 0900 <br /> Description of Extent of Contamination: None <br /> soil: N/A <br /> Water: N/A <br /> Structure: N/A <br /> Description of Removal Activities: Field analysis, overpack, document and transport. <br /> EQUIPMENT USED LABOR USED <br /> IME IME <br /> DECRIPTION ARRIVE DEPART JOB CLASSIFICATION ARRIVE DEPART <br /> Response Truck 0900 1030 Foreman 0900 1030 <br /> Techl 0900 1030 <br /> Techl 0900 1030 <br /> MATERIALS USED MATERIALS USED <br /> DESCRIPTION NUMBER OF UNITS DESCRIPTION NUMBER OF UNITS <br /> Gloves 2 PR <br /> Drum, Poly, 55 gallon 3 EA <br /> Drum Liner 1 EA <br /> (USE ADDITIONAL SHEETS FOR THE ABOVE INFORMATION IF NEEDED) <br /> QUANTITY OF HAZARDOUS MATERIALS REMOVED(IDENTIFICATION PROCEDURES, LAB RESULTS IF AVAILABLE): <br /> 1 drum of flammable paint related material and 2 drums of debris, PPE. <br /> REGISTERED HAULER USED: PARC Specialty Contractors HAULER NUMBER:#132075 <br /> MATERIAL TRANSPORTED TO:425 ISIS Ave., Inglewood CA MANIFEST NUMBER:009776925JJK <br /> TIME AND DATE JOB WAS COMPLETED: 1030" 2/2/15 <br /> REPORT BY: Robert Lopez AGENCY: San Joaquin County Environmental Health <br /> DTSC 1204 (8/02) <br />