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SAN JOAQUIN COUNTY-OFFICE OF EMERGENCY SERVICES REVIEW <br /> 2` ? HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue, Room 610A, Stockton,CA 95202 DATA ENTRY <br /> . Telephone(209)468-3969 ss <br /> '#�/FORNAp <br /> HAZARDOUS MATERIALS INCIDENT REPORT <br /> DATE REPORT TAKEN BY TIME REPORTED TIME ON SCENE INCIDENT NUMBER <br /> 06/25/94 J Briggs 1645:00 1710:00 062594 <br /> REPORTING PARTY/ADDRESS TELEPHONE NO. <br /> County Fire 2094684418 <br /> INCIDENT LOCATION ADDRESS CITY ZIP CODE <br /> Franzia Winery, 17000 E. Hwy 120 Ripon 95366 <br /> REPORTING INFORMATION FIRE DISTRICT <br /> Ammonia leak from refrigeration system. Ripon <br /> WEATHER <br /> Clear <br /> RESPONSIBLE PARTY/ADDRESS TELEPHONE# <br /> 17000 E. Hwy 120, Ripon, 95366 2095994111 <br /> RESPONSIBLE PARTY REPRESENTATIVE/OYJNER TEUEPHCW# <br /> Louis B. Dambrosio, Dir. of Production 2095994111 <br /> INCIDENTTYPE <br /> Fixed Facility Release <br /> PROPERTY INVOLVED <br /> Private-Wine Group <br /> AREA IMPACTED CONTAMINATION <br /> Rural Water,Air <br /> EVACUAnCN NJURES <br /> Immediate Area None <br /> VEHICE(S)INVOLVED VEHICLE LICENSE NUMBER(S) VEHICLE OWNER(S) <br /> N/A N/A N/A <br /> SHIPPERS NAME TELEPHONE# CARRIER'S NAME TELEPHONE# <br /> N/A I N/A <br /> 1.CHEMICAL NAME TRADE NAMEMANUFACTURER <br /> Anhydrous Ammonia <br /> GAS# DOT# DOT HAZARD CLASS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> 7664-41-7 1005 2 1 Gas <br /> IDENTIFICATION DETERMINED BY <br /> Container/Company Rep. <br /> CCNTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIAL CXANmY RELEASED QUANTITY REMAINING IN CONTAINER <br /> Refrig. 4000 lbs. Metal 3001bS. 4000 lbs. <br /> 2.CHEMICAL NAME TRADE NAMEMIANUFACTURER <br /> CAB# DOT# DOT HAZARD CLASS PHYSICAL DESCRIP DN OF MATERIAL RELEASED <br /> IDENTIFICATION DETERMINED BY <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIAL QUANT"RELEASED QUANTITY REMAINING IN CONTAINER <br /> 3.CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> CAB# DOT# DOT HAZARDCLASS PHYSICAL DESCRIPTION OF MATERIALRELEASED <br /> IDENTIFICATION DETERMINED BY <br /> CONTAINER TYPE CONTAINER CAPACTrY CONTAINER MATERIAL QUANTITY RELEASED QUANTITY REMAINING IN CONTAINER <br /> Page 1 HMIR COMP REV M21B <br />