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CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. STATE OES CONTROL NO <br /> A San Joaquin OES 39807 XSJ-01523 <br /> q (209)468-3962/3969 Not assigned <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 12/18/2001 1625 1800 IINCID NT DA <br /> 8/2 <br /> INCIDENT ADDRESSILOCATION CITY/COMMUNITY COUNTY ZIP <br /> C I13th St.,Between B &D Stockton San Joaquin 95206 <br /> r <br /> WEATHER I TEMP I PROPERTY USE I SURROUNDING AREA PROPERTY MANAGEMENT <br /> D 1 CLEAR 400 Residential 400 Residential Private <br /> RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 98 No Release 98 No Equip Involved 98 No Mobile Property Involved <br /> I ACTIONS TAKEN <br /> ri one. Canceled. <br /> L <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Suspicious Envelope <br /> ` SICAL STATE PHYSICAL STATE I QUANTITY RELEASED I ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL 1CONTAINERCAPACI <br /> G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAI CONTAINER MATERIAL CONTAINER CAPAC <br /> 6. <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ® NO <br /> ADDITIONAL INFORMATION <br /> H <br /> 1.A B C D 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 /> SPECIAL <br /> STUDIES LOCAL STATE <br /> USE — - - - - _ - - - <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> J 60 Off-Site Non-Fire 98 NO Reference DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING N/A N/A N/A <br /> -- Services Material Used AGENCY PERSONNEL <br /> OTHERS N/A N/A N/A <br /> I IV EHICLE MAKE/YEAR IVEHICLE LICENSE NO. STATE VEHICLE ID NO. (VIN) CA/DOTIFUC/ICC NO.I COMPANY NAME <br /> N/A I N/A I N/A N/A N/A N/A <br /> L REPORTING OFFICER NAME(ID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez, OES7 12/19/2002 1ES <br />