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M � <br /> TOWER PARK <br /> tv p n0I 14900 W. HIGHWAY 12 / LODI, CA 95242 <br /> (209) 369-1041 <br /> INCIDENT REPORT <br /> 70DAY-S DATE 12/16/90 <br /> YOUR NAME: Joe Barone <br /> YOUR ADDRESS: 1.1530 W. Eight Mile Road <br /> YOUR CITY. STATE. ZIP Stockton, CA 95219 <br /> King Island <br /> �� SLIP or BERTH or RV # AA 041 <br /> DESCRIPTION OF INCIDENT n;PCAI spill (-from a Lonestar 38' Troller) <br /> HOW DID IT OCCUR? Under investigation <br /> DATE OF INCIDENT: 12/15/90 TIME: Approx. 4 :00 p.m. <br /> LOCATION: (Attach Map if necessary) King Island Resort <br /> 11530 W Eight Mile Rd. , Stockton CA 95219 <br /> WITNESSES: Hal Braden (Employee, King Island Resort) <br /> John M. Stark 8 Lori O'Father (Fish 8 Game Dept. ) <br /> Brian L. Puck (Coast Guard - Marine Science Technician) <br /> Our insurance company will be notified of this incident. You should also notify your <br /> own insurance carrier to expedite the handling of any claims. <br /> Signed` - <br /> Joe Barone <br /> �� r A WESTREC MARINA <br />