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• • • CHANGE 1 F7 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT DES vsl DELETE2 0 <br /> A[AGENCY NAME AGENCY ID NO. INCIDENIT NO. AGENCY TEL NO. DES CONTROL NO. <br /> n Joaquin County 39807 IR-00465 (209)468-3969 97-4101 <br /> ENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B4/97 1031 2130 INCIDENT DA'EOM <br /> ENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C1 S. Hwy 99 Manteca San Joaquin 95336 <br /> WEATHER TEMP I PROPERTY USE I SURROUNDING AREA IPROPERTY MANAGEMENT <br /> D 1 CLEAR 650 Agricultural 650 Agricultural Private <br /> RELEASE FACTORS TYPE OFE UIPMENTINVOLVEDMOBILE PROPERTY TYPE <br /> E 30 Failure to Control Hazmat 99 See Comment Page 99 See Comment Page <br /> ACTIONS TAKEN <br /> ri No actions-OES was not notified <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Sulfur Dioxide 1079 2 7446-09-5 <br /> HYSICAL STATE PHYSICAL STATE QUANTITY RELEASEDrVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> 2 Liquid 3 Gas 60 pounds Air 6 Property of Origin <br /> CONTAINER DESCRIPTION 1CONTARITER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACIT <br /> 2,2 Portable& 12 Cylinder 11 Ground Level 1 Iron, Steel,Alloys 60 pounds <br /> G Pressurized <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 CONTAINER CAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑Yes ❑No <br /> ADDITIONAL INFORMATION <br /> H <br /> 1.A B C D 2. A B C D 3. A B C D 4. A B C D 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 99 See Comments Page 99 See Comments DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 2 <br /> AGENCY PERSONNEL <br /> OTHERS <br /> HICLE MAKE/YEAR IVEHICLE LICENSE NO.ISTATE I VEHICLE ID NO. (VIN) I CA/DOT/PUC/ICC NO. COMPANY NAME <br /> • K <br /> L REPORTING OFFICER NAMEJID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> A Bentley 10/17/97 Yes <br />