Laserfiche WebLink
Sep 15 06 02: 59p San Joaquin County OES 2094682600 p, 2 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> k#ADDREMSILOCAT[ON <br /> AGENCY[D NO. INCIDENT NO, AGENCY TEL NO. OES CONTROL NO. <br /> 39807 XSJ-01392 (209)468-3962/3969 01-4721 <br /> NOTIFIED TIME COMPLETED DATE COMPLETED <br /> 1640 2100VDIFFERENTFROM <br /> CITYICOMMUNITY COUNTY ZIP <br /> ve Unincorporated San Joaquin <br /> WEATHER TEMP PROPERTY USE SURROUNDING AREA PROPERTY MANAGEMENT <br /> D I CLEAR 90 962 CountylCity Road 400 Residential County <br /> RELEASEFACTORS ITYPE OFEQUIPMENT INVOLVED MORALE PROPERTY TYPE <br /> E 1 31 Abandoned 98 No Equip Involved 98 No Mobite Property Involved <br /> ACTIONS TAKEN <br /> F I41 Remove Hazard(Neutralize);42_JD/Analysis of Hazmat;44_Estublish Safe Area;63_Notify Other Agency; <br /> 71_Investigate <br /> CHEMICAL OR TRADE NAME DOT 1D NO. DOT HAZARD CLASS CAS NO. <br /> Sulfuric Acid 1830 8 Corrosive <br /> Materials <br /> HYSICALSTATE PHYSICALSTATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION 1EX7ENTOF <br /> TORED RELEASED RELEASE <br /> 2 Liquid None None 8 NO RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE ILEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACI <br /> 2_Portable 13 Can or Bottle 11 Ground Level 7 Glass,Pottery,Clay 20 oz <br /> G <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Hydrochloric Acid 1789 8 Corrosive <br /> Materials <br /> PHYSICALSTATE 1PHYSICALSTATE QUANTITYRELEASED ENVIRONMENTAL CONTAMINATION 1EXTENTOF <br /> STORED RELEASED RELEASE <br /> 2 Liquid None None 8 NO RELEASE <br /> CONTAINER DESCRIPTION 1CONTAINIER TYPE LEVEL OFCONTAINEq CONTAINER MATERIALCONTAINER CAPACITY <br /> 2_Portable 13 Can or Bottle 11 Ground Level 7 Glass,Pottery,Clay 5 oz <br /> V MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> H <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 DECONTAMINATED INJURIES FATALITIES <br /> Services RESPONDING 0 0 0 <br /> Material Used AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> LEHICLE MAKE/YEAR IVEHICLE LICENSE NO STATE IVEHICLE ID NO (VIN) ICAMOTIPUCtICCNO.1 COMPANY NAME <br /> K NIA <br /> L L REPORTING OFFICER NAMFIID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> M Parissi,OES8 8/20/2001 <br /> L <br /> L <br />