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CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AAGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39807 XSJ-00662 (209)468-3962/3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 7/1/1998 738 1530 If <br /> DI FERrrE T EOM <br /> INCIDENT ADDRESSILOCATION CITY/COMMUNITY COUNTY ZIP <br /> C 1 <br /> 21791 E. Hwy 12 Clements San Joaquin 95227 <br /> WEATHER TEMP PROPERTY USE SURROUNDING AREA PROPERTY MANAGEMENT <br /> D 1 CLEAR 80 400 Residential 650 Agricultural Private <br /> ` IRELFASEFAcroRs TYPE OF EQUIPMENT INVOLVEDMOBILE PROPERTY TYPE <br /> E 98 No Release 98 No Equip Involved 98 No Mobile Property Involved <br /> ` ACTIONS TAKEN <br /> ri 42, ID/Analysis Of Hazmat 43,45,Monitor <br /> FDDrug <br /> MICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> lab chemicals <br /> ` CAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> D RELEASED RELEASE <br /> 8 NO RELEASE <br /> AINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPAC <br /> (CHEICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> AL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> D RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS I <br /> CONTAINER MATERIAL CONTAINER CAPACITY <br /> J <br /> MORE THAN 2 SUBSTANCES INVOLVED? H YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H <br /> I.A B C D 2. A B C D 3. A B C D 4. A B C D 5. A BCD 6. ABCD <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNE IREFERENCE MATERIAL #OF #OF #OF <br /> J 60 Off-Site Non-Fire 98 No Reference DECONTAMINATED INJURIES FATALITIES <br /> Services SiRESPONDING <br /> �. Material Used AGENCY PERSONNEL <br /> OTHERS <br /> EHICLE MAKEfYEAR IVEHICLE LICENSE NO. STATE IVEHICLE ID NO. (VIN) CA/DOT/PUCICCNO. COMPANY NAME <br /> K <br /> L IREPORTING OFFICER NAMEID NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> R Lopez, OES7 7/2/1998 yes <br />