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Feb 23 05 10: 25a San ,,,,aquin County OES 2094682 p. 17 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. DES CONTROL NO. <br /> San Joaquin OES 39807 XSI-01290 (209)468-3962/3969 01,2430 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> BI <br /> 4/26/2001 0915 1412 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESSfLOCATION CITY/COMMUNITY COUNTY ZIP <br /> C <br /> INt corner of Fresno Ave and Scotts Ave. Stockton,CA Unincorporated San Joaquin 95206 <br /> W- ER PROPERTY USE JSURROUNDING AREA PROPERTY MANAGEM NT <br /> D 1 CLEAR 75 962 County/City Road 400 Residential County <br /> RELEASE FAEOF ECUIPMENT INVOLVED OBILE PROPERTY TYPE <br /> E 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> F 1 36 Transport,42 ID Haz Mat,47 Decon Area,63 Notify Other Agency. <br /> CHEMICAL OR TRADE NAMEDOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Waste Toluene 1294 3 Mixture <br /> HYSIC4LSIATE 1PHYSICALSTATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED I RELEASE <br /> 2 Liquid NO RELEASE NO RELEASE None 8 NO RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> 2 Portable 13 Can or Bottle 11 Ground Level 1 Iron,Steel,Alloys <br /> 1 Gallon <br /> G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Waste Toluene/Sodium Hydroxide Solution Mix 2924 3 and 8 Mixture <br /> PHYSICAL RATE PHYSICAL STATE QUANTITY RELEASED I ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> 2 Liquid NO RELEASE NO RELEASE None 8 NO RELEASE <br /> CONTAINER DESCRIMON 1CONTAIMER TYPE ILEVELOF CONTAINEq CONTAINER MATERIAL CONTAINER CAPACITY <br /> 2 Portable 13 Can or Bottle 11 Ground Level 1 Iron,Steel,Alloys 1 Gallon <br /> HIMORETHAN 2 SUBSTANCES INVOLVED? ®YES [3 NO <br /> ADDITIONAL INFORMATION <br /> H Drug lab dumping included 2 quarts of waste acetone and enough lab trash to fill a 5 gallon bucket. Cleanup funded <br /> by DTSC on CLU#2001-04-157A. <br /> T SPECIAL <br /> STUDIES LOCAL ——— — STATE <br /> USE _ — _ — — _—_ ---- —_ — _ -- _— <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCEMATERIAL #OF #OF #OF <br /> J 40 On-Site Non-FireIz Cat DECONTAMINATED INJURIES F.4TALITIEs <br /> RESPONDING 0 0 0 <br /> Services AGENCY PERSONNEL <br /> _ O`IHERS 0 0 0 <br /> JEHICLE MAKE/YEAR IVEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) CA/DOT/PUC/ICCNO. COMFANYNAME <br /> K I N/A I N/A N/A N/A I N/A NIA <br /> I L IREPORTTNG OFFICER NAMEW NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> P Cook,OES9 4/26/2001 YES l <br />