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Mar 07 OG 11 : 34a San Joaquin County OES 2094682800 p. G <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> r A AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. DES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-00756 (209)468-3962/3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 12/$/1998 1336 1520 IfDIFFERENTFROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C Hamey Lane east of Jack Tone RD Unincorporated San Joaquin <br /> WEATHER TEMP I PROPERTY USE I SURROUNDING AREA TROPE TY MANAGEMENT <br /> D 1 CLEAR 962 CountylCity Road 65D Agricultural County <br /> RELEASEFACTORS ITYPE OFEQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 31 Abandoned 98 No Equip Involved 98 No Mobile Property Involved <br /> r ACTIONS TAKEN <br /> [i I 41_Remove Hazard(Neutralize);42—ID/Analysis of Hazmat <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Waste Oil <br /> HYSICALSTATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION FXTEN70F <br /> TORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> r <br /> G CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINERTYPE LEVELOFCONTAINE I <br /> CONTAINER MATERIAL CONTAINER CAPACITY <br /> MORE THAN2 SUBSTANCES INVOLVED? ❑YES ®NO <br /> ADDITIONAL INFORMATION <br /> H <br /> SPECIAL <br /> 1.A BCD 2. A BCD 3. A B C D 4. A B C D 5. A BCD 6. A R C D <br /> I <br /> STUDIES LOCAL STATE <br /> ` USE - - - - - -_ _ - --_ -- _— --__ _ _- - <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> ` J 40 On-Site Non-Fire 98 No Reference DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 0 0 0 <br /> Services <br /> Material Used AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> VEHICLE MAKEIYEAR VEHICLE LICENSE NO.ISTATE IVEHICLE ID NO.(VIN) jCA/DOT/PUC/ICCNO,l COMPANY NAME <br /> ` R I N/A <br /> L IREPOPTING OFFICER NAMMI)NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> M Parissi, OES8 12/10/1998 No <br /> r <br />