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Oct 12 09 10: 40a San Joaquin C 2099536268 P.2 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> A AGENCY NAMEAGENCY ID NO. rII)ENTNO. AGENCY TEL NO. ATE OES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-01070 (209)953-6200 002454 <br /> INCIDENT DAT& TIME NOTIFIED ME COMPLMM DATE COMPLETED <br /> $ <br /> 611 Y2000 1600 2355 1 NO D ENT FROM <br /> INCIDENT CITY/COMMUNITY COUNTY ZIP <br /> C Gawne Rd west of Escaion-Bellota Rd Unincorporated San Joaquin <br /> WEATHER ITnMP jKOMTYUSS ISURROUNDINGAREA OPERTY <br /> D 1 CLEAR 80 650 Agricultural 630 Agricultural Private <br /> RELEASE FA=.0 PE OF EQUIPMENT INVOLVED 0811-F-PROM TYPE <br /> E 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> AMON S TAX HN <br /> Fi 41TRcmove haz$rd(Neutralize);42,,,,,`11)Analysis of hazmat.47_Recon Aren(Clean Up);71_Jnvestigate <br /> CHEMICAL OR TRADE NAME 1O NO. CLASS_CAS NO. <br /> flammable Liquid E31F=m7abile <br /> uids <br /> HYSICAL.STATE PHYSICAL.STATE QUANTITY R13LPASED ENVIRONMENTAL CONTAMINATION OF <br /> TO RED RELEASED E <br /> 2 Liquid None None None 8 NO REI -ASE <br /> ONTAINER DESCRIPTIONNTAINER TYPErOFCONTAINER CONTAINER MATERIAL NTAINERCAPACITY <br /> Z,Portable 13 Can or Bottle round Level 1 Iron,Steel,Alloys <br /> S Gallon <br /> Ci CHEMICAL OR TRADE NAME OT 10 NO. DOT HAZARD CLASSCAS NO, <br /> Red Phosphorus 8 Corrosive <br /> Materials <br /> YSICALSTATE I PHYSICAL STA"T"E QUANTITYRBLFASED JENVIRONMENTAL CONTAMINATION ENT OF <br /> OR ED RELEASED IPMLEASE <br /> 1 Solid None None 8 NO RELEASE <br /> NTAINER DESCRIPTION CONTAINER TYPE ILEVEL OF CONTAINERCONTAINER MATERIAL, r <br /> AINER CAPACTFY <br /> 2,Portable r5 Plastic Flexlble <br /> MORE THAN 2 SUBSTANCES INVOLVED? 1]YES ONO <br /> ADDITIONAL,INFORMATION <br /> H Additional contaminated articles were located(Sheets,clothing and general trash items) <br /> 1.A B C D 2_ A B C D 3, A S C D 4. A B C D S. A B C D 6. A R C D <br /> SPECIAL <br /> STUDIES LOCAL STATE <br /> USE --_.— - - ———— -- --. — ———— ——— — <br /> KAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> ' 40 On-Site Non-Fire 98 No Reference DECONTAMINATED INJURIES FATAL ES <br /> Services Material Used RESPONDING 4 0 . <br /> AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> CLE MAKFJYFAR EMCLE LICENSE NO. ATE IVEHICLE ID NO.O(IN) I CAtD0T1PUC1ICC NO,I COMPANY NAME <br /> K I NIA <br /> LRTING OFFICER NAMFAD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> rM Parissi,GESS 6/2/2000 YES <br />