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SAN JOAQUIN COUNTY - OFFICE OF EMERGENCY SERVICES <br />HAZARDOUS MATERIALS DIVISION <br />222 East Weber Avenue, Room 610, Stockton, CA 95202 <br />Telephone (209) 468-3969 <br />CALIFORNIA HAZARDOUS MATERIALS REPORT ADDENDUM <br />1 / I Page 2 <br />Date Incident Occured <br />Time Incident <br />Date At Scene <br />Time At Scene <br />SJOES Incident No. <br />1010 Industrial Drive <br />(209) 983-8298 <br />Occured <br />Stockton, CA 95206 <br />Notified <br />NO <br />11/26/99 <br />730:00 <br />11/26/99 <br />N <br />XSJ-00974 <br />M <br />(209) 983-8298 <br />Stockton, CA 95206 <br />Take report of incident only. <br />Initial Information Reported <br />Wind Speed/Direction <br />Telephone No. <br />unknown <br />1010 Industrial Drive <br />Call OES to report release on 11/29/99 at1631. <br />1 / I Page 2 <br />Reporting Party Name <br />Address <br />Telephone No. <br />Joint Team Activated? <br />Jeffery Kinder <br />1010 Industrial Drive <br />(209) 983-8298 <br />Stockton, CA 95206 <br />Notified <br />NO <br />Responsible Party Name <br />Address <br />Telephone No. <br />N <br />Sierra Chemical Company <br />1010 Industrial Drive <br />(209) 983-8298 <br />Stockton, CA 95206 <br />Take report of incident only. <br />Responsible Party Representative Name <br />Address <br />Telephone No. <br />Jeffery Kinder <br />1010 Industrial Drive <br />(209) 983-8298 <br />Stockton. CA 95206 <br />1 / I Page 2 <br />OES HazMat Team <br />Activated <br />NO <br />OES Personnel On Scene <br />No response <br />Name of Agency <br />Joint Team Activated? <br />Date/Time Activated <br />Members On Scene <br />O <br />99-5058 <br />Notified <br />NO <br />Fire District <br />Mitigation/Removal Actions <br />22 City of Stockton <br />Take report of incident only. <br />1 / I Page 2 <br />Agency Notifications and/or Referrals <br />CHMIR Filed? <br />Name of Agency <br />Date of Notification <br />Time of Notification <br />Name of Representative <br />99-5058 <br />Notified <br />P <br />1 / I Page 2 <br />Repo Officer ignature <br />CHMIR Filed? <br />Incident Type <br />Q <br />99-5058 <br />Fixed Facility, Accident <br />1 / I Page 2 <br />