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Jan 12 06 04: 56p San Joaquin County OES 2094682600 p. 10 <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> INCIDENT REPORT 222 E.Weber Ave.,Stockton,CA 95202 (209)468-3962 <br /> DATE/TIME OCCURRED DATEJTIME DES NOTIFIE1 INCIDENT NO. DATE/TIMB TERMINATED1 DES CONTROL NO. <br /> 11/21/05,0930 11/21/05, 1305 XSJ-02815 11/21/05, 1635 05-6735 <br /> INCIDENT ADDRESSILOCATION CrTY/COMMUNITYZIP <br /> 2815 McComb Ave. Stockton 95205 <br /> REPORTING PARTY NAME ADDRESS TELEPHONE NO. <br /> A S/O Dispatch 7000 Michael N.Canlis Blvd. 2094684400 <br /> French Camp,CA 95231 <br /> RESPONSIBLE PARTY NAME ADDRESS TELEPHONE NO. <br /> Unknown Unknown Unknown <br /> RESPONSIBLE PARTY REPRESENTATIVE NAME ADDRESS TELEPHONE NO. <br /> Unknown Unknown Unknown <br /> r. WEATHER CONDITIONS TEMP WIND SPEED/DTRECTION SURROUNDING AREA PROPERTY USE <br /> 1 CLEAR 400 Residential 400 Residential <br /> B INITIAL INFORMATION REPORTED ROPERTY MANAGEMENT <br /> �- Clan.lab material inside a suit case found abandoned in driveway Private <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACITY <br /> Corrosive liquid,Acidic,Inorganic, 3264 8 Corrosive Various Size Plastic <br /> N.O.S.(Iodine) Materials Bottles <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED CONTAINER DESCRIPTION EXTENT OF <br /> STORED RELEASED ELEASE <br /> 2 Liquid None 2—Portable 8 NO RELEASE <br /> ENVIRONMENTAL CONTAMINATION <br /> None <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACITY <br /> Corrosive Solid,Acidic,Inorganic, 3260 Plastic Zip Lock <br /> N.O.S.(Iodine Solid) Sandwich Bae Size <br /> PHYSICAL STATE JPHYSICALSTATF JQUANTITY RELEASED CONTAINER DESCRIPTIONXTENT OF <br /> STORED RELEASED ELEASE <br /> 1 Solid None 2_Portable 8 NO RELEASE <br /> ENVIRONMENTAL CONTAMINATION <br /> None <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACrn <br /> Corrosive liquid,Acidic,Inorganic, 3264 16 oz.Plastic Bottle <br /> N.O.S.(Muriatic Acid) <br /> PHYSICAL STATE PHYSICAL STATE JQUANTITY RELEASED CONTAINER DESCRIPTION EXTENT OF <br /> - STORED RELEASED RELEASH <br /> 2 Liquid None 2_Portable 8 NO RELEASE <br /> ENVIRONMENTAL CONTAMINATION <br /> None <br /> RELEASE FACTORS TYPE OFEQUIPMENT INVOLVFD IMOBILE PROPERTY TYPE <br /> 98 No Release 98 No Equip Involved 98 No Mobile Property Involved <br /> D VEHICLE MCA/ <br /> AKFIYEAR VEHICLE LICENSE NO STATE VEHICLE 1D NO.(VIN) DOT/PUC/iCC NO. COMPANY NAME <br /> N/A N/A N/A NIA NIA N/A <br /> Page 1 <br /> r <br />