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Jan 04 06 04: 14p San Joaquin County OES 2094682600 p,5 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AAGENCY NAME AGENCY ID NO. JINCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-01274 (209)468-3962/3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 4/2/2001 1445 1530 If DIFFERENT INCIDENT DATE <br /> FROM <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY 71P <br /> C I <br /> River Rd.between Murphy Rd and Carrolton Rd Unincorporated San Joaquin <br /> WEATHER I TEMP PROPERTY USE I SURROUNDING AREA PROPERTY MANAGEMENT <br /> D I 1 CLEAR 962 County/City Road County <br /> RELEASE FACTORS TYPE OF E UIPMEN7 INVOLVED MOBILE PROPERTY TYPE <br /> E <br /> ACTIONS TAKEN <br /> F Cancelled enroute at 1510 hrs. <br /> CHEM[CAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINIER CAPACITY <br /> G <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL I CONTAINER CAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H <br /> 1.A BCD 2. A BCD 3. A B C D 4. A B C D S. A B C D 6. A B C D <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> J DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING <br /> AGENCY PERSONNEL <br /> OTHERS <br /> VEHICLE MAKE/YEAR IVEHICLE LICENSE NO. STATE IVEHICLE ID NO.(VIN) ICA/DD`T/PUCIICCNO.1 COMPANY NAME <br /> K <br /> L REPORTING OFFICER NAME/ID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> M Parissi, OES8 4/3/2001 NO <br />