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Feb 20 07 09: 20a San Joaquin County OES 2094682600 <br /> P. 5 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> y A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39307 XSJ-01400 (209)468-3962/3969 CHP <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 8/24/2001 1131 1157 If DIFFERENT FROM <br /> a INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION <br /> CITY/COMMUNITY COUNTY ZIP <br /> C Peltier Rd.SB on ramp to I-5. Unincorporated San Joaquin 95686 <br /> WEATHER I TEMP I PROPERTY I1SE ISURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D I 1 CLEAR 85 961 Freeway 650 Agricultural State <br /> RELEASE FACTORS TYPE OF E UIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 1 71 Collision/Overturn j 97 Vehicular Fuel System 20 Freight Veh/Road <br /> ACTIONS TAKEN <br /> F 98\o Action Taken <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS I CAS NO. <br /> Diesel 1993 3 Flammable Mixture <br /> Liquids <br /> PHYSICAL STATE PHYSICAL.STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> -80 Gallons 3 Ground 7 Beyond Property <br /> 2 Liquid 2 Liquid 40 <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CON'T'AINER CAPACITY <br /> 3_Mobile 41 Vehicular Fuel 11 Ground Level 2 Aluminum& Alloys Unknown <br /> G Tank <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 CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> H IMORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> Overturned grape truck. Cal Trans and CHI'on scene. Cal Trans will do the cleanup. <br /> Tractor Lie#9B 15524,Trailers IV V 8023 and IVV 8024. <br /> LA B C D 2. A B C D 3. A B C D 4. A BCD 5. 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 40 On-Site Non-Fire 98 No Reference RESPONDING DECONTAMINATED INJURIES FATALITIES Services Material Used AGENCY PERSONNEL 0 0 0 <br /> OTHERS 0 0 0 <br /> EHICLE MAKFJYEAR IVEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) ICA1DOT/PUC/ICCNO.I COMPANY NAME <br /> K International 9B 15524 CA Unknown Unknown Viramontes Farms <br /> L REPORTING OFFICER NAMFJID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> P Cook,OES9 8/27/2001 NO <br />