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Jan 12 06 05: 11p San Joaquin County OES 2099449015 p. 9 <br /> r <br /> SAN JOAQUIN COUNTY- OFFICE OF EMERGENCY SERVICES <br /> s HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue, Room 610,Stockton,CA 95202 <br /> c Telephone(209)468-3969 <br /> 9<%F o'itNt <br /> P <br /> ADDENDUM TO <br /> r CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> F411 <br /> cident Occured Time Incident Date At Scene Time At Scene SJOES Incident No. <br /> Occured <br /> 11001 0945 4/11/2001 1010 XSJ-01283 <br /> Mnformation Repotted Wind Speed/Direction <br /> c Works reported a white oanular substance on the road at Waterloo Rd. <br /> rodway Ave. <br /> Reporting Party Name Address Telephone No. <br /> Co.Road Maintenance 1810 Hazelton Ave 468-3074 <br /> Stockton, CA <br /> Responsible Party Name Address Telephone No. <br /> iV Ram Trucking Unknown unknown <br /> Responsible Party Representative Name Address Telephone No. <br /> None <br /> y OES HazMar Team OES Personnel On Scene <br /> Activated <br /> 1E5 Robert <br /> Joint Team Activated? Date/time Activated Members On Scene <br /> O NO <br /> Fire District Mitigation/Removal Actions <br /> 22 City of Stockton Material to be removed by Co.Road Maintenance <br /> Agency Notifications and/or Referrals <br /> - Name of Agency Date of Notification Time of Nonficafion Name of Representative <br /> Notified <br /> CHP 4/11/01 1035 Dispatch <br /> P Environmental Health 4/11/01 1030 Kasey Foley <br /> State Warning Center 4/11/01 Kevin Waters <br /> County Road Maintenance 4/11/01 1115 Monte LaStrange <br /> Q Reporting Officer Signature CHMIR Filed? Incident Type <br /> r <br /> Page 2 <br /> v <br />