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Jan 12 06 05: 11p San Joaquin County OES 2099449015 p. 8 <br /> 6- 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 XSJ-01283 (209)468-3962!3969 01-2113 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 4/11/2001 0945 1130 fDIF�TNT ,FROM <br /> INCIDENT ADDRESS/LOCATION Cry/COMMUNITY COUNTY ZIP <br /> C Report Ave.to Waterloo Rd.,and east to Broadway Stockton San Joaquin 95205 <br /> WEATHER TEMP PROPERTY ILSR I SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D 1 CLEAR 962 County/City Road 600 Industrial.Utility County <br /> RELEASE FACTORS TYPE OF7OUTPMENIT INVOLVED IMOWLE PROPERTY TYPE <br /> E 50 Mechanical Failure 96 Hazmat Transfer Equip 20 Freight Veh/Road <br /> ACTIONS TAKEN <br /> F 42 E)Haz Mat,63 Notify Other Agency,64 Provide Public Info. <br /> FTORED <br /> ICAL OR TRADE NAME DOT ID NO. DOT HAZA=CLAIS <br /> 2 sulfate of potash po (Potassium Chloride) <br /> AL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> RELEASED RELEASE <br /> id 1 Solid a rox. 10016s. 3 GroandPP 7 Beyond Property <br /> INER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPAC <br /> 99 See Comments 30 Above Ground 1 Iron,Steel,Alloys <br /> L G Page <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE I PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> H <br /> SPECIAL ].A B C D 2. A B C D 3. A R C D 4. A B C D S. A R C D 6. A BCD <br /> I <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 RESPONDING DECONTAMINATED INJURIES FATALITIES <br /> Services Material Used AGENCY PERSONNEL N//' WA N/A <br /> OTHERS N/A N/A NIA <br /> HICLE NZ KFIYEAR VEHICLE LICENSE NO. STATE VEHICLE ID NO.(VIN) CA/DOT/PUC/ICCNO. COMPANY NAME <br /> j{ I Unknown I 9A89465 I Ram Trucking <br /> L REPORTING OFFICER NAMEAD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez,OES7 4/11/2001 YES <br />