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CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AAGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 11 39807 IR-00336 (209)468-3962/3969 <br /> INCIDENT DATE 17114ENOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 2/27/1997 1630 1800 IICIDIFIERRE TFFREOM <br /> NT <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C 639 Oro Lane Stockton San Joaquin 95215 <br /> WEATHER I TEMP I PROPERTY USE I SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D I CLEAR 60 962 County/City Road 400 Residential County <br /> RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED IMOBILF PROPERTY TYPE <br /> D' 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> .. <br /> ACTIONS TAKEN <br /> ji 1 41,Remove hazard;ID/Analysis of hazmat <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Drug Lab Waste <br /> HYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> 1 Solid 8 NO RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPAC <br /> Portable I1 Drum 11 Ground Level 4 Plastic/Fiberglass, 5 gallon <br /> GRigid <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> N/A <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION ICONTAINtR TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> J <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H No. <br /> 1.A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D <br /> SPECIAL <br /> I STUDIES LOCAL STATE <br /> USE - - _ - - - - - - <br /> HAZMAT IDENTIFICATION SO CBS HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> j 19 On-Site Fire Services Hazcat RESPONDING DECONTAMINATED INJURIES FATALITIES <br /> AGENCY PERSONNEL <br /> OTHERS <br /> [VEHICLE MAKFIYEAR IVEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) ICAIDOTIPUCACCNO.1 COMPANY NAME <br /> K <br /> LIREPORTINGNAME/11)OFFICER NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> Michael Parissi 2/28/1997 No <br />