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Rug 28 06 02: 36p San ',aguin County OES 2094GSP-90 P. 10 <br /> `' SAN JOAQUIN COI�ew OFFICE OF EMERGENCY SYVICES <br /> INCIDENT REPORT 222 E. Weber Ave., Stockton,CA 95202 (209)468-3962 <br /> 1. DATE/TIME OCCURRED DATEITIME OES NOTIFIED1 INCIDENT NO. DATrrrIME TEPMNATEDI OES CONTROL NO. <br /> 11/22/02, 2121 11/25/02,0830 XSJ-01757 11/25/02, 1135 02-6447 <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY ZIP <br /> 19 S. Oro Ave. Unincorporated 95215 <br /> REPORTING PARTY NAME .ADDRESS TELEPHONE NO. <br /> ASIC Public Works,Carla 1810 E.Hazelton Ave. (209)468-3074 <br /> Stockton,CA 95205 <br /> RESPONSIBLE PARTY NAME ADDRESS TELEPHONE NO. <br /> Unknown Unknown Unknown <br /> RESPONSIBLE PARTY REPRESENTATIVE NAME ADDRESS TELEPHONE NO. <br /> Unknown Unknown Unknown <br /> WEATHER CONDITIONS TEMP WIND SPEED/DIRECTION I SURROUNDING ARE A PROPERTY USE <br /> 1 CLEAR 400 Residential 962 County/City Road <br /> B INITIAL INFORMATION REPORTED ROPERTY MANAGEMENT <br /> 50-gallon drum of waste oil and oil-soaked absorbent in front of 19 S.Oro Ave. County and Private <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACITY <br /> Absorbent with waste oil. 1270 4 Flammable No Container <br /> Solids <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASE] CONTAINER DESCRIPTION ENT OF <br /> STORED RELEASED EASE <br /> ENVIRONMENTAL CONTAMINATION <br /> 3 Ground <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. CONTAINER CAPACTCY <br /> Waste Oil 1270 Approx.25 Gallon <br /> PHYSICAL STATE PHYSICAL STATE JQUANTITY RELEASEDCONTAINER DESCRIPTION OF <br /> C STORED RELEASED I EASE <br /> 2 Liquid Unknown 2 Portable <br /> ENVIRONMENTAL CONTAMINATION <br /> 3 Ground <br /> CHEMICAL OR TRADE NAME DOT ID NO, DOT HAZARD CLASS CAS NO. CONTAINER C.APAC <br /> PHYSICAL STATE PHYSICAL STATE 1QUANTITY RELEASED CONTAINER DESCRIPTION EXTENT OF <br /> STORED RELEASED RELEASE <br /> .� ENVIRONMENTAL CONTAMINATION <br /> r <br /> RELEASE FACTORS TYPE OFE IIIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> 00 Undetermined 98 No Equip Involved 98 No Mobile Property Involved <br /> D VEHICLE MAK&YEAR VEHICLE LICENSE NO STATEVEHICLE ID NO.(VIN) CA/DOT/EUC/ICCNO. COMPANYNAMB <br /> •— N/A N/A NIA I N/A N/A N/A <br /> Page 1 <br />