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tr pg4�!P!, SAN JOAQUIN COUNTY- OFFICE OF EMERGENCY SERVICES <br /> Q` % HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue,Room 610, Stockton,CA 95202 <br /> Telephone (209) 468-3969 <br /> �d<%F pNN�p <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 /> 12/22/1998 1818 12/22/1998 1915 XSJ-00765 <br /> M Initial Information Reported Wind Speed/Direction <br /> Abandoned drug lab at residence <br /> Reporting Parry Name Address Telephone No. <br /> r <br /> Unknown <br /> Responsible Party Name Address Telephone No. <br /> N Unknown <br /> Responsible Party Representative Name Address Telephone No. <br /> OES HazMat Team OES Personnel On Scene <br /> Activated <br /> R.Lopez,D. Fields,A. Bentley,P. Cook and J. Briggs <br /> Yes <br /> Joint Team Activated? Date/Time Activated Members On Scene <br /> O No <br /> Fire District Mitigation/Removal Actions <br /> Tracy Rural DTSC clean up contractor removed waste chemicals and debris from site. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> INN State OES 12/23/98 1641 Bill Pennington <br /> DTSC 12/23/98 1159 Rich Hubbell <br /> ` P <br /> SJ Environmental Health 12/22/98 1930 Steve Sasson <br /> Tracy Rural Fire 12/23/98 1000 SFD Distatch <br /> ti <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q 98-5690 Clandestine Drug Laboratory <br /> Page 2 <br />