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CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT SYSTEM <br /> AGENCY NAME AGENCY ID NO. INCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39807 1IR-00374 (209)468-3962/3969 97-2062 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 5/22/1997 1123 1300 IfDIFFERENT FROM 5/23/1997 <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C I <br /> Camanche Power House,Buena Vista Rd. Wallace San Joaquin <br /> WEATHER ITEMP PROPERTYUSE I SURROUNDING AREA IPROPERTY MANAGEMENT <br /> D OUNKNOWN 946 Lake/Pond/River 600 Industrial, Utility City <br /> ` I RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 1 50 Mechanical Failure 99 See Comment Page 99 See Comment Page <br /> ` I ACTIONS TAKEN <br /> ri 141 Remove Hazard,42 ID Haz Mat,45 Monitor,47 Decon Area(Cleanup),63 Notify Other Agency,71 Investigate,73 <br /> Shut Down System,92 Refer To Proper Authority. <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> Hydraulic Fluid 1270 3 N/A <br /> SICAL STATE PHYSICAL STATE I QUANTITY RELEASED I ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> TORED RELEASED RELEASE <br /> 2 Liquid 2 Liquid 10 gallons 2 Water 9 See Comment <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL I CONTAINER CAPACITY <br /> 1 Fixed 24 Machinery or 11 Ground Level 1 Iron,Steel, Alloys unknown <br /> G Process <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> PHYSICAL STATE PHYSICAL STATE I QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAIN] CONTAINER MATERIAL CONTAINER CAPAC <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H No San Joaquin County O.E.S. response. <br /> ` LA B C D 2. A B C D 3. A BCD 4. A B C D 5. A B C D 6. A B C D <br /> I SPECIAL <br /> STUDIES LOCAL STATE <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL [25 <br /> EFERENCE MATERIAL #OF #OF #OF <br /> J 99 See Comments Page Private Info DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 0 0 0 <br /> ource AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> EHICLE MAKE/YEAR IVEHICLE LICENSE NO.ISTATF IVEHICLE ID NO. (VIN) I CA/DOTIPUC/ICC NO. COMPANY NAME <br /> .. g I N/A I N/A I N/A N/A I N/A I N/A <br /> L REPORTING OFFICER NAME/113 NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> P Cook 6/3/1997 Yes <br />