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Jan 12 OG 04: 55p San Joaquin County ❑ES 2094G82000 p. G <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> i <br /> I <br /> AGENCY NAME AGENCY TD NO. INCIDENT NO. AGENCY TEL NO. DES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-00961 (209)468-3962/3969 99-4809 <br /> NCIDENTDATE TIMENOTIFIED TIME COMPLETED DATE COMPLETED <br /> 11/11/1999 12:53 14:02 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESSILOCATION CITYlCOMMUNITY COUNTY ZIP <br /> 3118 Kenyon Ave. Stockton San Joaquin 95205 <br /> WEATHER TEMP PROPERTYUSESURROUNDING AREA I PROPERTY MANAG M NT <br /> D 1 CLEAR 66 400 Residential 400 Residential Private <br /> y, RELBASEFACTORS JrYPEOPEOUIPMENTTNVOLVED IMOBTLE PROPERTY TYPE <br /> E 31 Abandoned 77 Chem Processing Equip 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> F 1 42 ID Haz Mat,Notify Other Agency <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Waste Hydrochloric Acid 1789 8 Corrosive 7647-01-0 <br /> Substances <br /> YSICALSTATE PHYSICALSTATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENTOF <br /> ` TORED RELEASED RELEASE <br /> 2 Liquid NO RELEASE I RELEASE NO RELEASE 8 NO RELEASE <br /> CONTAINYR DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> 2 Portable 13 Can or Bottle 11 Ground Level 5 Plastic Flexible 16 oz. <br /> V <br /> G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS ND. <br /> Sodium Hydroxide 1823 8 Corrosive 1310-73-2 <br /> Substances <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> SPORED RELEASED RELEASB <br /> 1 Solid 1 Solid NO RELEASE NO RELEASE 8 NO RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE ILEVEL OF CONTAINERI CONTAINER MATERIAL ICONTAINER CAPACI <br /> 2 Portable 13 Can or Bottle 11 Ground Level 5 Plastic Flexible one pound <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> H Drug lab debris and trash dumped in yard of condemned home. The acid was in a plastic Coke bottle and the sodium <br /> hydroxide was in a Drano can. <br /> r <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> IrUSE - - - - — _-- --- _ _ _— _ ———— _—_— <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> _ J 40 On-Site Non-Fire Hay Cat RESPONDING DECONTAMINATED INJURIES FATALITIES <br /> Services AGENCY PERSONNEL D 0 0 <br /> OTHERS 0 0 0 <br /> EHICLE MAKE/YEAR IVEHICLE LICENSE NO. STATE IVERICLE ID NO.(VIN CA/DOUWPUCIICC NO. COMPANY NAME <br /> K I N/A I N/A N/A I N/A N/A N/A <br /> L REPORTING OFFICER NAMFBD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> P Cook, OES9 11/15/1999 NO <br /> rr <br />