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Feb 23 05 10:27a San Paquin County OES 2094682,.003 p. 24 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. GES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-00783 (209)468-396213969 <br /> iNCiDEN T DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B14, <br /> 1/27/1999 1700 I030 If DIFFERENT FROM 1/28/1999 <br /> INCIDENT DATE <br /> INCIDENT ADDRE.SSILOCATION CITYICOMMUNITY COUNT' ZIP <br /> C Across street from 1855 W.Sonora St. Stockton San Joaquin 95203 <br /> 1 <br /> WEATHER IMPI PROPERTY USE SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D 1 CLEAR 48 400 Residential 400 Residential County <br /> RELEASEFACTORS TYPE OF EQUIPMENT INVOLVED MOBILEPROPERTYTfPE <br /> E 31 Abandoned 99 See Comment Page 99 See Comment Page <br /> ACTIONS TAKEN <br /> Fi Identified material as waste oil,assess spill and contamination of soil,apply absorbent,remove absorbant and small <br /> amount of soil. <br /> F <br /> MICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> ste oil 12703 <br /> CAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT CF <br /> D RELEASED RELEASE <br /> quid 2 Liquid 10 gallons 3 Ground 6 Property of Origin <br /> AINER DESCRIPTION CONTAINER TYPE LEVELOP CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> , Mobile&.Armored 11 Drum 11 Ground Level I iron,Steel,Alloys 15 gallons <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTTTY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION 1CONTATNERTYPE LEVEL OF CONTAINS CONTAINER MATERIAL 1CONrAINER CAPAC <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES NNO <br /> ADDITIONAL INFORMATION <br /> LA E C D 2. A BCD 3. A R C D 4. A B C D 5. A B C D 6. A BCD <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> USE — _-- — _-- - -_— — _ -- —— —— ___— <br /> HAZMAT IDENTIFICATION SOURCES rA7GFPNCY <br /> CASUALTIES <br /> PERSONNEL REFERENCE MATE #OF #OF #OF <br /> JDECONTAMINATED INJURIES FATALITIES <br /> ING 0 0 0 <br /> PERSONNEL <br /> _ <br /> EHICLE MAKE/YEAR IVEHICLE LICENSE NO,ISTATE IVEHICLE ID N0.(VIN) CA/DOT/PUC(ICC NO. COMPANY NAME <br /> K <br /> L REPORTING OFFICER NAMFAD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> A Bentley,OESS 1/29/1999 Yrs <br />