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SAN JOAQUIN COUNTY - OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> t`J. 222 East Weber Avenue,Room 610, Stockton, CA 95202 <br /> Telephone (209)468-3969 <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Occured Time Incident Date At Scene Time At Scene SJOES Incident No. <br /> � Occured <br /> 12/18/2001 1625 XSJ-01523 <br /> M Initial Information Reported Wind Speed/Direction <br /> Yn <br /> SO requested OES response to a suspicious envelope at a residence. <br /> ` Reporting Party Name Address Telephone No. <br /> San Joaquin. Co. 7000 Michael Canlis Blvd. 209-468-4400 <br /> Sheriffs Office French Camp, CA 95231 <br /> Responsible Party Name Address Telephone No. <br /> ` N <br /> Not Provided <br /> Responsible Party Representative Name Address Telephone No. <br /> ` Not Provided <br /> OES HazMat Team OES Personnel On Some <br /> y� Activated <br /> None <br /> YES <br /> Joint Team Activated? Datefrime Activated Members On Scene <br /> Y. <br /> O NO <br /> LFire District Mitigation/Removal Actions <br /> 18 Montezuma Public Health declared a non-incident. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representatnc <br /> ` Notified <br /> P <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q No Anthrax <br /> r <br /> Page 2 <br />