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e i <br /> CHANGE 1 F7 <br /> CALIFORNIA ;'HAZARDOUS MATERIALS INCIDENT REPORT OES 1/91 "DELE'T'E 2 <br /> A AGENCY NAME AGENCY ID NO. JINCIDENT NO. AGENCY TEL NO. OES CONTROL NO. <br /> San Joaquin OES 39807 070993 (209)468-3969 <br /> INCIDENTDATE TIME NOTIFIED ]TIME COMPLETEDDATE COMPLETED <br /> $ 7/9/1993 1740 I If INCIDENT DATE <br /> INCIDENT ADDRESS/LOCA'1ION CITY/COMMUNITY COUNTY ZIP <br /> C 12470 E.Locke Lockeford San Joaquin 95237 <br /> WEATHER TEMP PROPERTY USE SURROUNDING AREA 1PROPERTY MANAGEMENT <br /> D Clear Industrial Private-unknown <br /> RELEASE FACTORS ITYPE OF EQUIPMENT INVOLVED IMOBILE PROPERTY TYPE <br /> E <br /> J <br /> ACTIONS TAKEN 4 <br /> F Assessed situation/advised I.C. <br /> ITU.R <br /> EMICAL OR TRADE NAME DOT ID NO, DOT HAZARD CLASS CAS NO. <br /> 1 nknown Material <br /> SICAL STATE PHYSICAL STATE QUANTITY.RELEASEDrVIRONMENTAL CONTAMINATION. EXTENT OF <br /> - ED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINEIR CONTAINER MATERIAL CONTAINER CAPACITY <br /> (3 8)Drums 55 Gallons <br /> j G <br /> CHEMICAL OR TRADE NAME DOT ID NO. DOT HAZARD CLASS CAS NO. <br /> CHEMICAL <br /> SO4 <br /> PHYSICAL STATE PHYSICAL STATE QUANTITY RELEASED ENVIRONMENTAL CONTAMINATION EXTENT OF <br /> STORED RELEASED RELEASE <br /> CONTAINER DESCRIPTION CONTAINER TYPE LEVEL OF CONTAINS CONTAINER MATERIAL CONTAINER CAPA <br /> Pails 5 Gallons <br /> MORE THAN 2 SUBSTANCES INVOLVED? ❑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 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 REFERENCE MATERIAL #OF #OF #OF <br /> J PH 1.6 DECONTAMINATED INJURIES FATALITIES <br /> RESPONDING <br /> AGENCY PERSONNEL <br /> OTHERS <br /> HICLE MAKE/YEAR IVEHICLE LICENSE NO. STATE [VEHICLE ID IVO. (VIN) ICA/.DOT/ilUC/ICCNO.1 COMPANY NAME <br /> g NA NA NA <br /> a L REPORTING OFFICER NAMhgD NO.(PRINT OR TYPE) DATE COMMENTS ATTACHED <br /> -s <br /> R.Lopez 7/12/1993 <br />