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Feb 23 05 10: 30a San aquin County OES 209468e O F< 34 <br /> aewEw <br /> OPcu(ry SAN JOAQUIN COUNTY -OFFICE OF EMERGENCY SERVICES I <br /> L' 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 TAKENSY TIMEREPORTED TIME ON SCENE INCIDENT NUMBER <br /> 11118/1993 D.Sulamo 1420:00 920:00 111893 <br /> REPORTNG PARTY/ADDRESS TELEPHONENO. <br /> _ S.J.Co. Public Works 2094683074 <br /> MiDENTLOCATION ADDRESS Clio Zip CODE <br /> Lone Tree&Henry Rd Escalon 95320 <br /> FIRE DISTRICT <br /> REPORTRVG INFORMATION <br /> Five(5)gallon can on side of road/solvent smell. Escalon <br /> WEPTHER <br /> Gear <br /> RESP <br /> NA iY ONSiZLE PAR /ADD1Ui55 TELEPHONE# <br /> ' <br /> RESPONSIBLE PART`:REPRESENTATIVE/OWNER TELEPHONED <br /> NA <br /> NCIDBIT TYPE <br /> Abandoned <br /> PROPERTY INVOLVED <br /> _ County <br /> AREA IMPACTED CONTAMINATION <br /> Rural Soil <br /> EVACUATION INJURIES <br /> r NA NA <br /> VEHICLES)INVOLVED VEHICLE LICENSE NVMHER(S) VEHICLE OWNER($) <br /> NA NA NA <br /> SHIPPER'S NAME TELEPHONE# CARRIER'S NAME TELEPHONE# <br /> NA I NA <br /> 1.CHEMICAL NAME TRADE NAME/MANUFACIURER <br /> Flammable Liquid,NOS <br /> CAS# Doi# DOT HAZARD DESCRIPTION!PHYSICAL DESCRIPTOF MATERIAL RELEASED <br /> 1993 3 — Clear Liquid <br /> IDENTIFICATION DETERMINED BY <br /> Label,HazCat <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINED MATERIAL QUANTITY RELEASED QUANTITY REMAINING IN CONTAINER <br /> Can 5 Gal Steel <1 Gal 1 Gal <br /> E CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> CAS# DOT# DOT HAZARD CLASS PHYSICAL DESCRITTON OF MATERIAL RELEASED <br /> IOEH i1FICATION DETERMINED BY <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIAL QUANTITY RELEASED QUANITTY REMAMNC IN CONTAINER <br /> 3.CHEMICAL NAME TRADE NAMEAMANUFACTURER <br /> CAS# DOT# DOT HAZARD CUSS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> IDENTFICATION DETERMINED BY <br /> CONTAINER TYPE CONrAINER CAPACITY CONTAINER MATERIAL OUANIf1Y RELEASED OUANTOY REMAINING IN CONTAINER <br />