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May 11 06 11 : 18a San Joaquin County OES 2094682600 p. 6 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> _ AGENCY NAME AGENCY ID NO. MINCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> A San Joaquin OES 39807 ICSJ-01622 (209)468-396213969 Not Assigned <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 5/20/2002 1550 1637 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESSA.00ATION CITY/COMMUNITY COUNTY ZIP <br /> C I <br /> SW Corner of Victory&Grooms Rd. Unincorporated San Joaquin 95320 <br /> W ATHER TEMP I PROPERTY USE I SURROUNDING AREA I PROPERTY MANAGEVIENT <br /> D 3 RAIN 60 962 County/City Road 650 Agricultural County <br /> RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> F 97 I- Mat Response,Material Determined To Be Non Hazardous,92 Referred To Proper Authority <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Empty Drum N/A N/A N/A <br /> YSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> r 70RED RELEASED RELEASE <br /> N/A N/A N/A N/A NIA <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVELOFCON'TAINEF CO.NTANER MATERIAL CONTAINERCAPACITY <br /> 2 Portable 11 Drum 11 Ground Level 1 Iron, Steel, Alloys 55 Gallon <br /> G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> L <br /> PHYSICALSTATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTALCONTAMNATION EXTENTOF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIP ION CONTAINER TYPE LEVEL OF CONTANE CONTAINER MATERIAL CONTAINER CAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> H Empty drum on the side of the road. <br /> 60 <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> ` USE — — -- _— — — — — —___ - - - - <br /> HAZMAT IDENTIFICATION SOURCES IHAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF *OF <br /> ` J 40 On-Site Non-Fire 98 No Reference DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 0 0 0 <br /> Services Material Used AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> EHICLE MAKFJYEAR VEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) CA/DOT/PUCIICCNO.1 COMPANY NAME <br /> K I N/A N/A I N/A N/A NIA N/A <br /> L JREPORTING OFFICER.N.4MFJID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> P Cook, OES9 5/21/2002 NO <br /> r <br /> r <br />