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Feb 23 05 10: 29a Sar Daquin County OES 209468 10 p- 31 <br /> REVIEW <br /> SAN JOAQUIN COUNTY-OFFICE OF EMERGENCY SERVICES <br /> r.' Z HAZARDOUS MATERIALS DIVISION <br /> ' 222 East Weber Avenue,Room 610A,Stockton,CA 95202 DATA ENTRY <br /> Telephone(209)468-3969 DS <br /> HAZARDOUS MATERIALS INCIDENT REPORT <br /> DATE REPORT TWEN BY TIME REPORTED TMEONSCENE INCIOE4TNUMBER <br /> 7/12/1993 M. Parissi 071293A <br /> REPORTING PAPY/ADDRESS -ELEPHONE N0. <br /> S.J.Co:Dept.Public Wks 2094683074 j <br /> L INCIDENT LOCATION ADDRE CITY 9P CODE <br /> Henry Rd.South of Lone Tree Escalon 95320 <br /> REPORTING INFORMATION FIRE DISTRICT <br /> ` (2) 5 Gallon containers of unknown contents. Escalon Fire <br /> x.EATveR ' <br /> Clear <br /> RESPONSIBLE PARTY/ADDRESS TELEPHONE <br /> �— NA <br /> RESPONSIBLE PARTY REPRESE'NTATVE/OWNER TELEPHONE u <br /> NA <br /> INCIDENT TYPE <br /> Abandoned <br /> PROPERTY RNVOLVEO <br /> County <br /> AREA IMPACTED CONTAMINATION <br /> Rural None <br /> EVACUATION IN DRIES <br /> NA NA <br /> VEHICLE(S)INVOLVED VEHICLE LICENSE NUMBERS) IN <br /> eKLE OWNERS) <br /> NA NA NA <br /> SHIPPER'S NAME TELEPHONE# CARRIER'S NAME TELEPHONE A <br /> NA NA <br /> I.CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> High Efficiency Thinner <br /> CAS M DOT 0 DOT HAZARD CLASS PHYSICAL DESCRIPNON OF MATERIAL RELEASED <br /> Mixture — 9189 Liquid sludge <br /> IDENTIFICATION DETERMINED SY <br /> Label/HazCat <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIALI$UANTOY RELEASED QUANTITY RSSIAR41MG IN CONTAINER <br /> Plastic 5 Gallon NA NA 2 Gal <br /> Z.CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> Acrylic Lacquer Thinner <br /> CAS IV DOfk DOT HAZARD CLASS PHYSICAL OESCAIPTION OF MATERIAL RELEASED <br /> Mixture — I NA <br /> IDEh CATION DETERMINED BY <br /> Label <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIAL QUANTITY RELEASED QUANTITY REMAINING IN CONITAINER <br /> NA NA NA I None Empty <br /> 3.CHEMKAL NAME TRADE NAME/MANUFgCNRER <br /> CAS A DOT# DOT HAZARD CLASS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> IDENTIFICATION DETERMINED BY <br /> CONTAINER 7' E CONTAINER CAPACITY CONTAINER MATERIAL CUANTR RELEASED CUANTTY .REMAINING IN CONTAINER <br />