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Jan 12 06 04: 58p San Joaquin Counts IDES 2094682600 p. 16 <br /> REVIEW <br /> atat'!n. SAN JOAQUIN COUNTY-OFFICE OF EMERGENCY SERVICES <br /> >• sy <br /> r�' y HAZARDOUS MATERIALS DIVISION <br /> "'• 222 East Weber Avenue,Room 610A,Stockton,CA 95202 DATA ENTRY <br /> Telephone (209)468-3969 DS <br /> • a a• <br /> HAZARDOUS MATERIALS INCIDENT REPORT <br /> DATE REPORT TAKEN TIME REPORTED TIME ON SCENE INCENTNUMBER <br /> 8/29/1994 J.Briggs 30:00 ID110:00 082994 <br /> REPORTING PARTYIADDRESS TELEPHONE NO. <br /> S.J.Co. Fire Dispatch 2094684418 <br /> INCIDENT LOCATION ADDRESS CRY ZIP CODE <br /> So.bound Hwy 99 ® Liberty Rd Acampo 95220 <br /> REPORTING INFORMATION FIRE DISTRICT <br /> Cars being damaged by chemicals being dropped from the overpass. Forest Lake F.D. <br /> WEATHER <br /> Clear/Cool <br /> RESPONSIBLE PARTY/ADDRESS TELEPHONE# <br /> Unknown <br /> RESPONSIBLE PARTY REPRESENTATVE/OWNER TELEPHONE it <br /> INCIDENT TYPE <br /> Abandoned, Intentional Act <br /> PROPERTYINVOLVED <br /> State <br /> AREA IMPACTED CONTAMINATION <br /> r Rural Soil.Vehicles <br /> EVACUATION INJURIES <br /> NA L.Prows/Jo Peazza contaminated <br /> ` VEHICLE(S)INVOLVED VF ICE LICENSE NUMBER(S) VEHRIE OWNERS) <br /> "Pontiac/Semi truck '2UAV216/NEP199 L.Prows/Hill Bros Trans <br /> SHIPPER'S NAME TELEPHONE# CARRIER'S NAME TELEPHONE# <br /> Crop Protection Services-Lodi Unknown <br /> 1.CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> Potassium Hydrosulfite Crop Protection Services-Lodi <br /> CASH I DOTI DOT HAZARD CLASS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> 14293733 1929 8 Clear Liquid <br /> IDENTIFICATION DETERMINED BY <br /> Label <br /> CONTAINER TYPE CONTAINERCAPACITY OONTAWER MATERIAL QUANTTTY RELEASED QUAN 1TY REMAINING IN CONTAINER <br /> Plastic 12 x 1 Gal HDPE 12 Gal 0 <br /> 2.CHEMICAL NAME TRADE NAME/MANUFACTURER <br /> r• CAS N DOT M DOT HAZARD CLASS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> IDENTIFICATION DETERMINED BY <br /> CONTAINER TYPE CONTAINER CAPACITY CONTAINER MATERIAL QUANTITY RELEASED QUANTITY REMAINING IN CONTAINER <br /> 3.CHEMICAL NAMETRADE NAME/MANUFACTURER <br /> I <br /> f <br /> CAS♦ DOT# DOT HAZARD CLASS PHYSICAL DESCRIPTION OF MATERIAL RELEASED <br /> IDENTIFICATION DETERMINED BY <br /> CONTAINER TYPE CONTAINER CAPACITY OONTAWER MATERIAL QUANTITY RELEASED QUANTTTY REMAINING IN CONTAINER <br /> v <br />