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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 39807 XSJ-01244 (209)468-3962/3969 Not Assigned <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 2/14/2001 1230 1530 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C 13901 E. Miner Stockton San Joaquin 95215 <br /> WEATHER I TEMP I PROPERTY USE SURROUNDING AREA PROPERTY MANAGEMENT <br /> D 1 CLEAR 400 Residential 400 Residential Private <br /> RELEASEFACTORS ITYPE OFEQUIPMENT INVOLVED IMOBILE PROPERTY TYPE <br /> E 98 No Release 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> ri 64 Provide Public Info. <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Clandestine Drug Lab Chemicals <br /> HYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION IFXTENT OF <br /> TORR RELEASED RELEASE <br /> V arious <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPAC <br /> Various Various Various Various Various <br /> JR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO, <br /> ATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> RELEASED RELEASE <br /> ESCRIPTION 1CONTAINERTYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? []YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H <br /> SPECIAL. <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 BCD <br /> t STUDIES LOCAL STATE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> DECONTAMINATED INJURIES FAT <br /> 60 Off-Site Non-Fire 98 No Reference FATALITIES <br /> T RESPONDING N/A N/A N/A <br /> Services Material Used AGENCY PERSONNEL <br /> OTHERS N/A N/A N/A <br /> ` EHICLE MAKENEAR VEHICLE LICENSE NO. STATE IVEHICLE ID NO.(VIN) ICAfDOT/PUCIICCNO.1 COMPANY NAME <br /> K I N/A I N/A I N/A N/A N/A N/A <br /> L REPORTING OFFICER NAME/ID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez, OES7 3/3/2001 YES <br />