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CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AAGENCY NAME AGENCY ID NO. INCIDOESENT NO. AGENCY TEL NO. CONTROL NO. <br /> San Joaquin OES 39807 XSJ-01072 (209)468-3962/3969 N/A <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 6/3/2000 1310 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C 1 <br /> 4343 E Fremont Street Stockton San Joaquin 95205 <br /> WEATHER I TEMP I PROPERTY USE I SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D I 1 CLEAR 90 962 County/City Road 600 Industrial, Utility City <br /> RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 1 71 Collision/Overturn 97 Vehicular Fuel System 20 Freight Veh/Road <br /> ACTIONS TAKEN <br /> F 98—No action taken <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Diesel 1993 3 Flammable <br /> Liquids <br /> HYSICAL STATEPHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> 2 Liquid 2 Liquid 30 Gallons 7 Beyond Property <br /> �- CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPAC <br /> 3, Mobile 21 Tank or Silo 11 Ground Level 2 Aluminum & Alloys Unknown <br /> 1. G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> N/A <br /> PHYSICAL STATE PHYSICAL STATE I QUANTITY PRELFASFDENVIRONMENTAL CONTAMINATION ip STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAIN TYPE CONTAINS CONTAINER MATERIAL 1CONTAINER CAPACITY <br /> 1. <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ® NO <br /> V ADDITIONAL INFORMATION <br /> H <br /> l.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 /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNELREFERENCE MATERIAL #OF #OF #OF <br /> J 19 On-Site Fire Services 98 No Reference RESPONDING DECONTAMINATED INJURIES FATOALITIES <br /> Material Used AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> EHICLE MAKF/YEAR IVEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) ICAIDOT/PUCIICCNO.1 COMPANY NAME <br /> w. <br /> K I N/A <br /> L REPORTING OFFICER NAME/ID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> M Parissi, OES8 6/5/2000 NO <br />