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Oct 12 D9 10:41a San Joaquin C .2099538 P. 7 <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AGENCY NAME AGENCY IB NO. IDFsI+TI NO. JAGWCYTELo- <br /> Nr <br /> OHS CONTROL NO. <br /> San Joaquin OES 39807 XSJ-0i 175 (204)953-6200 <br /> A I r .CIDENT DATE NOTIFIED [IMF COMPLEIM JDATECOMPLEFED <br /> S 101I8r2000 1645 1845 IiDR+19tE.NTFROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESSA-OCATtOAT CII!'1COMMUNITY COUNTY ZIP <br /> C Gawne Rd 1.5 miles east of Mobley Rd Unincorporated San Joaquin <br /> WEATHER ITEMP PROPERTY USE SURROUNDING AREA MANAGEMENT <br /> D 1 CLEAR 80 962 County/City Road 650 Agricultural County <br /> r1A <br /> SE ORS OF IN OLVF.D O TY TYPE <br /> Ebandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> ACIIONS TAKEN <br /> .F 35 'transport;41_,.,Remove hazard(Neutralize) <br /> CHEMICAL DR TRADE NAME T ID NO. HAZARD CLASS CAS NO. <br /> Waste Oil <br /> H SICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION VCrENT OF <br /> RED RELEASED E <br /> 2 Liquid None None r8Nb0 RELEASE <br /> ONTAINER DESCRIPTION NTAINER TYPEVEL OF CONTAINER CONTAINER MATERIAL <br /> 2,Portable i I Drum II Ground Level 4 Plastic/Fiberglass, FNTAINERCAPACITY gallon <br /> Rigid <br /> CHEMICAL OR TRADE NAME ID NO. T HAZARD CLASS CAS NO. <br /> +" <br /> Petroleum hydrocarbon <br /> HYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION ENT OF <br /> RED RELEASED St: <br /> 2 Liquid <br /> CONTAINER DESCRI nO.N ONTAIN 5RTYP6 FIZLU CONrAINER CONTAINER MATERIAL ONTAINERCAPACITY <br /> MORE THAN 2 SUBSTANCES INVOLVED? 17 YES ONO <br /> ADDITIONAL INFORMATION <br /> H Material was located by R.Lopez while investigating a drug lab dump.See Incident report 3TSJ-01176 <br /> I.A B C D 2. A B C D 3. A R C D4. A B C D 5. A 8 C D 6. A B C D <br /> SPECIAL" <br /> i STUDIES LOCAL STATE <br /> USE _--- — _ -- — — ———HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL RE143RENCEMATERIAL A OF #OF top <br /> 40 On-Site Non-Fire 98 No Reference PONDING D � uf AlNATFD (NIUp ES FATALITIES <br /> RESServices Material Used AGENCY PERSONNEL <br /> 0 0 0 <br /> OTHERS <br /> EMCLE MAKIJYFAR JVEKICLF,LICENSE NO.. 'ATE fVEMCLE ID NO.(VIN) CAOOTIPUCACC NO. COMPANY NAME <br /> K NIA _. <br /> ()P,nNG OFFICER RA--MMD NO.(PRINT OR TYPE) DATA. CDINMF.iFT5 ATTACHED <br /> M Parissi,OES8 10/19/2000 <br />