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Feb 23 05 10: 29a San Paquin County OES 2094682 P• 29 <br /> r <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> INCIDENT REPORT 222 E.Weber Ave., Stockton, CA 95202 (209)468-3962. <br /> r DATFJrB.g OCCURRED DATEMME OES NOTIFIE INCIDENT NO. DATZMME TERMINATE OES CONTROL NO. <br /> 1/7/2005- 1520 Not notified XSJ-02485 Unknown 05-0140 <br /> INCIDENT ADDRESSILOCATIONCITY/COMMUNCTY ZIP <br /> 16551 S.Henry Rd Unincorporated 95320 <br /> REPORTING PARTY NAh�. ADDRESS F209-947-5240 <br /> HONE NO. <br /> A Joe Mello Unknown Dept of Fish&Game(OSPR) <br /> RESPONSIBLE PARTY NAME ADDRESS HONE NO. <br /> Jce Da Silva Dairy 16551 S Henry Rd own <br /> Escalon,CA 9530 <br /> RESPONSIBLE PARTY REPRESENTATIVE NAME ADDRESS TELEPHONE NO. <br /> Joe Da Silva Dairy 16551 S Henry Rd Unknown <br /> Escalon.CA 95230 <br /> WEATHER CONDITIONS TEMP I WIND SPEED/DIRECTION I SURROUNDING AREA PROPERTY 13SE <br /> Unknown Unkno I Unknown 650 Agricultural Dairy <br /> B INITIAL INFORMATION REPORTED O-P—ERf 7 MAN ACEMENT <br /> Report taken from State OES spill report submitted by Joe Mello of the Dept of Fish and Private <br /> Game. <br /> CHEMICAL OR TRADE NAME DOT TD NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACITY <br /> Dairy Waste N/A NIA N/A NIA <br /> PHYSICAL STATE PHYSICAL STATE IQUANTITY RELEASED CONTAINER DESCRIPf IONFNIA <br /> -r OF <br /> STORED RELBASED A Unknown NIA <br /> ENVIRONMENTAL CONTAMINATION <br /> Dairy Waste contaminated the South San Joaquin Irrigation system <br /> CHEMICAL OR TRADE NAME DOT SD NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACITY <br /> PHYSICALSTATE PHYSICAL STATE QUANTITY RELEASEDI CONTAINER DESCRIPTION X ENT OF <br /> STORED RELEASED .ELEASE <br /> ENVIRONMEATAL CONTAMINATION <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACIT <br /> PHYSICALSTATE PHYSICALSTATE QUANTITY RELEASED CONTAINER DESCRIPTION EXTENT OF <br /> STORED RELEASED I RELEASE <br /> r <br /> ENVIRONMENTAL CONTAMINATION <br /> RELEASE FACTORS ITYPE OF ROIJTPMENT INVOLVED MOBILE PROPERTY TYPE <br /> 30 Failure to Control Hazmat Valve N/A <br /> VEHICLE MAKPIYEAR VEHICLE LICENSE NO STATE VEHICLE ID NO.(VIN) CA/DOT/PUC/ICCNO. COMPANY NAME <br /> NIA N/A N/A NIA N/A IN <br /> Page 1 <br />