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Jun 27 OG 08: 20a San Joaquin County OES 2094682600 p. 2 <br /> 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-01051 (209)468-3962/3969 <br /> INCIDENT DATE TIME NOTIFIED TIME COMPLETED DATE COMPLETED <br /> B 5/8/2000 1300 1510 If DIFFERENT FROM <br /> INCIDENT DATE <br /> INCIDENT ADDRESS/LOCATION CITY/COMMUNITY COUNTY ZIP <br /> C I <br /> End of Bieghle at Clover SW side Stockton San Joaquin 95205 <br /> WEATHER I TEMP I PROPERTY USE I SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D I CLEAR 75 400 Residential 400 Residential City <br /> ... RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED MOBILE PROPERTY TYPE <br /> E 31 Abandoned99 See Comment Page <br /> ACTIONS TAKEN <br /> ji 41—Remove hazard <br /> 42_ID/Analysis of Hazmat <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO, <br /> Floor Wax Not Reg <br /> Not Regulated <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> 2 Liquid 8 NO RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> ,r 2,1 Portable&Insulated 13 Can or Bottle 11 Ground Level 4 Plastic/Fiberglass, 5 Gallon <br /> G I Rigid <br /> CHEMICAL OR TRADE NAME DOT ID NO, DOT HAZARD CLASS CAS NO. <br /> Waste oil 1270 3 Flammable Mixture <br /> Liquids <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CO.NT,AMINATION JEXTENT OF <br /> STORED RELEASED RELEASE <br /> -� CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINER CONTAINER MATERIAL CONTAINER CAPACITY <br /> -� MORE THAN 2 SUBSTANCES INVOLVED? N YES ❑NO <br /> ADDITIONAL INFORMATION <br /> H Trash and empty plastic containers <br /> SPECIAL 1.A B C D 2. A B C D 3. A B C D 4. A BCD 5. A B C D 6- A BCD <br /> � <br /> STUDIES LOCAL STATE <br /> USE <br /> HAZMAT IDENTIFICATION SOURCES HAZMAT CASUALTIES <br /> PERSONNEL REFERENCE MATERIAL #OF #OF #OF <br /> J 99 See Comments Page 99 See Comments DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING 0 0 0 <br /> Page AGENCY PERSONNEL <br /> OTHERS 0 0 0 <br /> VEHICLE MAKE/YEAR IVEHICLE LICENSE NO.ISTATE IVEHICLE ID NO. (VIN) ICAIDOTIPUCACCN0.1 COMPANY NAME <br /> K <br /> L REPORTING OFFICER NAMF/ID NO,(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> A Bentley,OESS 5/8/2000 YES <br />