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CALIFORNIA HAZARDOUa MATERIALS INCIDENT REPOR_ SYSTEM <br /> aAGENCY NAME AGENCY ID NO. JINCIDENT NO. AGENCY TEL NO. I OES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-01523 (209)468-3962/3969 Not assigned <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 12/18/2001 1625 1800 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C 13th St.,Between B &D Stockton San Joaquin 95206 <br /> WEATHER I TEMP I PROPERTY USE I SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D I 1 CLEAR 400 Residential 400 Residential Private <br /> RELEASE FACTORS 'TYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 98 No Release 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> E <br /> None. Canceled. <br /> [HYSICAL <br /> HEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO, <br /> uspicious Envelope <br /> STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> RED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> G 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 /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ® NO <br /> ADDITIONAL INFORMATION <br /> H <br /> r. <br /> LA BCD 2. A B C D 3. ABCD 4. A B C D 5. A B C 1) 6 <br /> SPECIAL <br /> I STUDIES LOCAL STATE <br /> — — — — — — — — - <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> 60 Off-Site Non-Fire 98 No Reference DECONTAMINATED INJURIES FATALITIES <br /> J RESPONDING N/A N/A N/A <br /> Services Material Used AGENCY PERSONNEL <br /> OTHERS N/A N/A N/A <br /> VEHICLE MAKEIYEAR IVEHICLE LICENSE NO.ISTATE I VEHICLE ID NO. (VIN) I CA/DOT/PUC/ICC NO.I COMPANY NAME <br /> K N/A N/A N/A I N/A N/A N/A <br /> L REPORTING OFFICER NAMEIID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez, OES7 12/19/2002 YES <br />