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CALIFORNIA HAZARDOU,.odATERIALS INCIDENT REPOK SYSTEM <br /> A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. GES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-01553 (209)468-3962/3969 Not Assigned <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 2/4/2002 1920 2030 If cln�nAFR M <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C Intersection of Golfview Rd. and Morse Rd. Unincorporated San Joaquin 95253 <br /> rWEATHER TEMP 1PROPERTYUSE SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D 1 CLEAR 950 Railroad 400 Residential County <br /> _ RELEASE FACTORS TYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> ACTIONS TAKEN <br /> Fi 97 Haz Mat Response,Material Determined To Be Non Hazardous. <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Molasses <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION JEXTENT OF <br /> TORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPACITY <br /> Ci <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION IFXTVI'ITOF <br /> STORED RELEASED RELEASE <br /> r <br /> CONTAINER DESCRIPTION 1CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPAC <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ® NO <br /> ADDITIONAL INFORMATION <br /> H <br /> SPECIAL <br /> LA B C D 2. A B C D 3. A BTO4. A B C D 5. A B C D 6. A B C D <br /> STUDIES LOCAL <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF 7AMFS <br /> J 60 Off-Site Non-Fire W No Reference DECONTAMINATED INJURIES <br /> Services RESPONDING N/A N/A Material Used AGENCY PERSONNEL <br /> OTHERS N/A N/A <br /> EHICLE MAKE/YEAR IVEHICLE LICENSE NO. STATEVEHICLE ID NO. (VIN) CA/DOT/PUC/ICC NO. COMPANY NAME <br /> j{ N/A N/A N/A N/A N/A N/A <br /> L REPORTING OFFICER NAMEAD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez, OES7 2/5/2002 NO <br />