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Feb IG OS 09: 53a San Joaquin County OES 2099449015 P, 3 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> _ A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39807 XSS-00676 (209)468-3962/3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 7/21/1998 14:45 If INCIF EENTDATE FROM <br /> INCIDENT ADDRF.SS/LOCATION CITY/COMMUNITY COUNTY ZB' <br /> C <br /> 1349 Adelbert Stockton San Joaquin 95205 <br /> WEAT14ER ITFMP PROPERTY USESURROUNDING AREAPROPERTY MANAGEMENT <br /> D 1 CLEAR 91 400 Residential 400 Residential Private <br /> RELEASE FACTORS ITYPE OFFOUIPMENT INVOLVEDMOBILEPROPERTY <br /> E <br /> 99 See Comments Page 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> g Sheriff secured the scene and requested Fire and OES. <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Drug Lab Material <br /> N/A <br /> PHYSICAL STATE PHYSICAL STATE I QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> C <br /> G ONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTRIVE CONTAINER MATERIAL jCONTAI?MRCAPAE-M— <br /> CHEMICAL <br /> OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE �PHYSICAL STATE QUANTITY RELEASED ENVE20NMENTAL CONTAMINATION JEXTENT OF <br /> STORED RELEASED RELEASE <br /> _ CONTAINER DESCRIPTION 1CONTAINERTYPE LEVEL OF CONTAINP CONTAINER MATERIAL CONTAINER CAPACI <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> .ADDITIONAL INFORMATION <br /> H <br /> LA B C D 2. A B C D 3. A BCD 4. A 3 C D 5. A B C D 6. A B C D <br /> SPECIAL <br /> STUDIES LOCAL STATE <br /> USE - - - - — — —— _ - - - _—_— —— —— — _ - - <br /> HAZ.VIAT IDENTIFICATION SOURCES HA7-MAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> J 29 Off-Site Fire 98 No ReferenceDECONTAMINATED INJURIES FATALITIES <br /> �. Services RESPONDING <br /> Material Used AGENCY PERSONNEL. <br /> OTHERS <br /> EHICLE MAKEfYEAR IVEHICLE LICENSE NO.19TATE VEHICLE ID NO.(VIN) I CA/DOT/PUOICC NO.I COMPANY NAME <br /> K <br /> L IREPORTING OFFICER NAME/ID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> D Fields,OES3 7/2111998 No <br /> r <br /> r <br />