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HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_0149_001r",{4fu From: Ge{% subieaz +rwa F. t+.rr{,E. F. {'^';yqf, I OUNTY OF SAN LUIS OBISPO OFFICE MEMORANDUM P Date: 7^ 77-t7 ,Lr-Q. *..'1t f !t O FtltAt }IA:ZARDOUS I.IATERIAL INCIDE}IT REPOflT ATTACHI'IENT II.I (Sutmlt to County O.E.S. fn r tlmely manner after lncldent) I Incldent Informatlon Drte of occurrence: e-"b*97 Tlme: / l3o HPS Locatlon. U,J trA PnBCau vtc€ -SACEAPE?J|D S.n prpc " 3,L,O, Inltlal report lng party: '7-7M BecK,atrrt+() t P,9, -rrf"lederar other Type of lncldent: -Spllfln"f ..J X-r-".ti'. -Flre Other t'lode of lncldent: _HlgtxU _Rall X Flxed facilltJ _Alr 0ther Cause of lncldent: gpP:to$ 8€6frp l.e*ntJ6 TH€ Dpy ZtpnH DopttrG ilt+puurpu Dcte rCI gp€FrK tp /^rAr#Ltp&., o Deaths: NoN€ InJuries: ,r.Jorr)6: - & UPS &tpaute-€S /oSSrccy €YPoSqt Damages : iJoAJa Envi ronment af fected: 8q cA rc:e tpr&toP ' Cope,twza Fuoo R I I . Type of I'laterl aI I nvol ved Chemical name (exact spelling ): Vtt:C OIM€nlyL plfHtOeABOt4t"rt+7€' ru% Trade name: Z I P t9i,{- 7b @,0e Quantity released z lo-15 L89 FPot't 35 -3o LB , CAtercD Ptysical descriptlon: jiSolld Llquid _Gas 0ther Type: _Flarmable _Conbustl ble Expl osive _Corroslve Radioactlve & Toxic/Polson _Cryogenlc _Canpressed gas _Oxidize X 0ther ^,Rta,tnt,')'t- Shl pper : GPau:ens R€hvBcE) [,rc, Sl-i.ii" Tel eP hone # Telephone # itA NACarrler: u Pt6g PnPc* 9avrc€ ilanufacturer: FMc Cg&f , omer: U&A€ PftOA0€9 ^ CAtvte&iff III. Scene Infomation Incldent Cormander: Telephone #ltA Tel ep hone #ilA llame Eoo $acoetJ Ran Xerc g_lgencY Co,€,H, Agencles/departments I nvol ved : llame g6,6ssrttp.op, H€nLru, Lead Representatlve BoB thL-g€?J O -32- Not{fled Arrlved 1o, AGAtcuLTt cof'rt4, B0a'ron pp ora/d/lPlfi I I I I t t I I T T Aqenc I es rtments fnvo I ved (contlnued): llame Lead Representatlve Responslble party for release ldentlfled:x YES Responslble party:U,P,9, ATTACHHENT II.I (Cont. )oilotlfled Arrlved l.l0* res e ep Responslble party accepted flnanclal llabll lty: *If N0, who authorlzed recoyery operailons: Name:ncy: Recovery operatlons performed by: Name: 8, Pt?ezzPepptt 5 ency: Cb, t+An CotQM, FinaI remarks/conments/observat{ons: t rlttzfr tr.tL Cta;s6V uP + l? eytottatsv Co , 46, Co&rt'vt. For<L€Aea OtsPasnA ve YES N0* Tlme,/Date ot Forrn ccnpleted Qy: co, er?Jd( e, 1@eH Agency P, t-buoe{s5L{ Reprcsentatfve Telephone t Please attach scene sketch rnd photographs rs necessary. Agencles Hll- lng the responslble party for servlces nust attach a report of ltemlzel labor, eqrlpment and naterlal costs assoclated ylth the lncldent. - }IOTE: -33- State of Callfornia--+iealth and Wolfar€ A9€ncy HAZARDOUS RE LEASE/SPI LL RESPONSE D€partmont ot Hcalth Servlcos Cou nty 5nFj Lo(s ogtspo INCIDENT BEGAN Nam€ of Shlpper/lndustry 6tQouev.9 F.€SootQce'*)C , Locatlon of lncldent orstrEn P*pcgz- se.Bu, - 3oot sf+cro, s7-, - ()r.ttttc, sn,-t Lots oalspd Tlmo //eo #ps Addr€ss SbGq !./'€recs5:77t8 Ot2,Rtspu+to copuouA CA Dnn "{ TYPE OF INCIDENT/MATERIALS (chrck only one accident and. one result Vehicle in Accident Leak in Moving Vehicle Fell from Vehicle Abandoned Material Fixed Facility Name of Material ztpc D t PleT?+yL o(fl+t acAP,oAP.hl€ hKA ZtBg*l 76 ODc2- n Check here if there are more listed on the back of this page ?-ao-sz Oate Tlme lleo HQ, INCIDENT ENDED Date 7-7L-67 2-e6-€7 Dat6Tlme e lfu HP, INCIDENT REPORTED No. Opon Stat. ol MlttcrNumber of ltenrs ! tr v Fire Explosion Reaction None Amount Released tt IDc 6 co(,cf o d 8 Iod c Go o c o o!tc o Jtr6 otlj. oaii J CoF o E o c6 Eodt .l(, eF Xoo : s. o o !o 6o6 coao otr!og sJEF o ! oo og, p 5 .gJ so I6?.o!FOILlLl/, 10 -'/5 LB'I I X tl Yes d ruo Manifest or MSDS Copy is attached to this form. 6 or-noaotr County Roadn Highway/Freewaytl City Street n Bridge n Curvetr Steep lnclinetr Tunnelf] NoneD Other (explain) D Air U Water D Ground b4 Human n Animal tr Vegetation n None ENVIRONMENTAL (select at least one from each section) Rural Subu rban U rban I n du stria I ACTIVITIES ON THE SCENE (check all boxes applicable) n Barriers Established D Road Restricted n Road Closed D Evacuation DID MATERIAL(S) AFFECT T!v D wind n Rainn Fos I - Snow, lce 6 fair,ornota Factor n Hospitalized n civilians D Responding Persons Clean-Up Don€ By 5LO Co' hCBICOLT-, Cott-<tatSSro pnon" 6Fo5) 547 s? lo Contain & Remove fl Reaction n Absorption D Sweepdown n Washdown D Evaporation E Wind D o,h., : RESPONDING AGENCIES (chxk all agencies at scene. HazMaFSpecial Team, ProEqu:Protrctive Equip.) ?r5O gl5taph oAy Address Sto COUNTY E Fire Dept. n Sheriff Dept. El/Health fl Road Dept. D Public Works d Agriculture Dept. n nd ! Dd D tr ! ! D !d HazMat ProEqu I other LOCAL n Fire Dept. D Police Dept. ! Health n Road Dept. n Public Works D Parks Dept. HazMat ProEqu ! D n STATE N CDF fl cHP I Health Dept. n Cal-Trans. D risn & Game FEDERAL D Forest Service ! EPA ! ERDA E Coast Guard HazMat ProEqu ! other n n tr n ! U cl tr u D tr n D trtl D fl ! tr!tl D D D oHS 8O74 (11/S3) Person Preparlng R€port Agoncy Ph one Oatc of R€port Qo&epr ftochel (<os)s(1-5s,11 a^77-8 7 Addr€ss 5CO Co. €P'/t rQoD, Hencry &rsa 5/€y2/aA usq /Sco Narratlve/Com ments M*rZ1prtqc ponQ€;D By OPS eytPco)re€S Tz Bg /enKtp6 Fpon TV€ cABDBonpD oo7d. BOX Dtsa.ttj.6 #ftpaLtpi , A u$ euPuov665 pe;tgLy €x poseil T3 77(€ FapGtc(o€ vtA lt-tHnr-Rnor| oR St<rp CotJTvCt AOu'r Se{ TO ogrT+rt |,\€0/CAL €XnntpAn|p, T7t€ H+r€retfrL @A9 cOpTA(p€o + P€wo{€O 'By Coo*tr/ AoRt coLT-uRt+ L Ceps t S 5 rop€tQ Fop LfruFvL 0 rS Po S A t- , County of San Luis Obispo MEMORANDUM To : Ftt-€ Department of Public Health Date: ?^77-97 Frotn , €, HouOeP sunsrrcr , ?R@P Gg 1.:on rrc&noJ - TtLntq SPtct '(),P'€' FnaL/7'Y A He Ath ufrs7E wfrrET< PBeto 65, Sac, { Pon F( cftnop 7e lz€ B, o,s.t H, o, * I)€4DS u*s Por pfr$€ Stuc€ T7+€ l^L+t&t&L UfrS por A Nfr?ftf?OouS *r 779 TTrta oF ,DscuABo€ ; DrO roor Arrec-r L*NA eR As Dei=tAr€7c bv cAc nr€ ae *cno*ss 6604 I * 66seo(e3), j il v ,l I Pa,ckinE List/l,lll I Cal I Fcnm From! tlnFurars R€gt,ur.co' Inc, . F6*,4 H*r'*antile Brive Ranchrr tlnr'dove' CA ?'167A $HIF T$FOR WATJE I4HTIANES RT. 1 F':IX 275 ISANTA ROSA IJREEI{ C:Al'lttRI A, C:A t34?e! Wade Rh,radee P, fi. Bax :3F4 C:anrbria CA 33,4?.& ( E(,Ei' pez*4ft,fr,1 ( t FRICE frRI TO $HIF[J-TY tdEIBHT IFTION l.CrO 7l t^lttG - 40*73. *,5 ntodern uelding SfftPonU METAL PRODUCTS COAST TO COAST CorPorate Office 2880 New Hartford Road - Box 1450 Owensboro, KY' 42302 Phone 502/685-4400S,rl *t"-an 36a1 e*.* - Slc*&r,ffi; From the desk of Date bv I P i ic.-/; -'LD P5",30 t: 6-,4tu'r*-J- - W)- V. fj.,-&" bZ."*-J. --r4- lJ ("u*t'; ,rag w_ d:77 T-9. "-"*"1"'W -r-F'W:tr-fr,. 7IL *o owJ* vk- ryag *:I"6 sq€ - Aet vd? 2a q 1L *,u2, tt sdn ..ia?--t 1".*r+. ...4'..7, ,. .- "{-atlft.j'rqi- --d- _---*l,ldwEig Gode 628 Ziram Fungicide EPA Reg. No.279.268 Ac{lve lnqredlent:ii iii- tiiic d im ethyl d ith iocarbam ate) lnert lngredlents . .. . . 76WDG EPA Est. PRECAUTIONARY STATEMENTS Zinc expressed as metalic' KEEP OUT OF REACH OF CHILDREN CAUTION Environmental Hazards t.iii,i"a--rli'iJiolido tiitr and wildlife. Do not applv directlv to ri,itbi. oo not apply where runotf. is likely to occu^r: I?^o- not apply *tlii'i"iitre-r-ffnititions lavor drift froir areas reated' Do not innt;il# ilat* ov cteining of equipment or dipsal of wastes' Apply this product only as specilied on tnls laDel' Phvsical or Chemical Hazards Keef away from lire and sParks. DIRECTIONS FOR USE i-iJi viotaii6n of-Federal Law to use this product in a manner inconsistent with its labeling. Do not aDolv this product in such a manner as.to directly.or ttrioijotr ffiir'eiposb workers or other persons' The area being ireate? must be vacated by unprotected persons' Do not enler treated areas without protective clothing until sprays have dried. Protective clothinq means, at least, a hat or other suitable head coverino. a lonq sleeved shirl and long leggeo trous€rs 9r q coy- il[-ffid il;-dii;ll of iioseiv wove-n fab-ric. covering the bodv' including tlre arms and legs)' shoes and socks' Because certain states may require.more restrictive re'entryin' tarvals for various crops trilated with this procluct' consult your State Department ol Agriculture for further inlormation' Written or oral warninqs must be given to workers who are ex' "l"ili,t't6:ui in ilreiGo area or ii an area about t9 be treated [rii'itrii-oioauci. lnform workers ol areas or lields lhqt.may..ng-til;'iieifi without specilic protective clothing, period of tlme lield m-uii'b-,iGcateo in?-ipprbpriate actions to take in case ol ac' ii,Idntlie'rpoinre. An eiimpte ol such information is given under i'iiiliiiiw-i''ininqs. Wnen orat wamings are given, wainings stall be oiven in a linouaqe customarily undersloocl bJ worKers' ural i-"iii''tiiii'ii'trsf6E-oiien it ttrere is reason to believe that written ffi;ilE; cannoiUt understood by workers. Written warnings must iniclude the following inlormalion: CAUTION Area treated with Ziram 76 WDG on (insert date)' Do not enter without aooropriate protective clothing until sprays have dried (ins'eh State Department of Agriculture's re- entry intervai, if more restrictive). ln case of accidenlal exposure to pesticide spray-or dust' wasn tne skin thoroughly with soap- and water'.Remove contaminated clothing and wash before reuse' lt ln eyes' llush with olentv ol whter. lf inhaled' go to an area where ihi pesiicibe hds not been applied. G-et medical attention if needed. 76.Ooh 24.070 100.0% 16.257o Mav be harmful if swallowed or inhaled' May cause initation of ffiis-io;.'iil.ailno itin. Avoid contact-with eyes., skin or Il"iii^li]liJoi:i Sniattrinq dust or spray mist. ln case ol contact' ttustr *jtn plen$ of wateir, for eyes' get medical aftentlon' For Emergency Asslstance Call 716-73$3765' See Slde Panel For Addltlonal Precautlonary Statements' +MC- FMC Corooration Aqricultural Chemical GrouP zdoo Market Street Philadelphia Pennsylvania 191 03 I 1/84 a h. 215 ht $Zlram t6 WDG (continued) to ,ly ot s. triflji;,,lJ.bf "il,,?i"o,,-s".i:J3:yJHH.?,sg?,,i.,",",,Jf; ;il1;ift $,fp*ti'piTfi3lft fl irliT,#ijp* jr"#,i;fq ffirmffi*l#*uffrffi *"t"ilx,"fu lif ,;38i3#:Ht+},frp?u;r:l,"pu,s"l; ,t tr I s s${fih6,fffiil:*l $$#$t#}r#*it[,,,;;q",i*{'ffi ,ff#iip}- gA'"a;,m+[',gpx**+*r Dealers Should Sell in Original packages Only. -trffiffi*ffiffffffiffi ffim:ffiffi #MG-FMC Trademark G2g]|l/Bq ;li,:*ii,li[$t_*.u,*i;_;liulf ;fffflir{ Pestlclde Dlsposal #::'i""i3'#l1,1"*"'l"Jl#?ff ?g:f ,f "g',:il:i*?I[?,fl ,iContalner Dlsoosal fl 'J,-ifJiiru$fr iq[id:f1-*l'lilr$:fi i[** NAMES ztRAM, ANTENE, CARBAZINC, COROZATE, CUMIN, DRUPINA, FUKLASIN, FUNGOSTOB HEXAZIR, MEZENE, MILBAM, PRODARAM, TRISCABOL, Z-C, ZERLATE, ZINKCARBAMATE, ZIRAMVIS, ZIRASAN, ZIRBERK, ZIREX, ZIRIDE, ZTTOX sscH:- ll ll -cH3---N- c- s-zn- s-c-N< 3cH- -cH 33 Zinc dimethyldithiocarbamate TYPE: Ziram is a carbamate compound used as a foliar fungicide 47 ORIGIN: E. I. DuPont de Nemours and Company and Bayer A. G., 1930. De- veloped primarily as an accelerator in rubber vulcanization. Produced today by a number of manufacturers. TOXICITY LD5o 1400 mg/kg. May cause skin irritation PHYTOTOXICITY: Nonphytotoxic except to zinc-sensitive crops such as tobacco and cucurbits. FORMULATIONS: 3.5-75Vo dusts, 30-967o WP, .l%o paste,4 lb/gal flowable. USES: Almonds, apples, apricots, bananas, beans, beets, blueberries, broccoli, Brussels sprouts, cabbage, caneberries, cauliflower, carrots, cantaloupes, celery, cherries, collards, cranberries, cucumbers, melons, nectarines, onions, peaches, pears, peas, pecans, peppers, pumpkins, radishes, squash, spinach, strawberries, tomatoes, tumips, watermelons, and ornamentals. IMPORTANT DISEASES CONTROLLED OR PREVENTED: Tomato early blight, anthracnose, Septoria leaf spot, potato eady blight, celery early and late blight, peach brown rot, leaf spots, downy mildews, gray mold, rust, apple scab, shot hole, petal blight of ornamentals, and many others. RATES: Applied at 3-15 lb actuaUA or l-ll2-2lb actual/IO0 gal of water. APPLICATION: Apply evenly at a uniform rate. Repeat at 4-10-day intervals on most crops. Often applied in combination with or altemated with ferbam and maneb. PRECAUTIONS: Excessive rainfall may wash this compound off the plants. Conosive to iron and copper. Remove excessive residues by washing, strip- ping, etc. Noncompatible with iron, copper, calcium arsenate, mercury, TEPR and lime compounds. ADDITIONAL INFORMATION: Repels Japanese beetles and cucumber beetles. May be applied up to the day of harvest to many crops. Most stable of the metallic dithiocarbamate fungicides. Does not accumulate in the soil. May be combined with a sticker if plants are difficult to wet. Compatible with com- mon fungicides and insecticides. 48 Its {, d + : i t 't i