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V .I <br /> pP.4Ut�!. C 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 /> C9�IFOR�)P <br /> _ ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Deemed Time Incident Date At Scene Time At Scene SJOES Incident No. <br /> Occured <br /> 5/15/2001 1310 5/15/2001 1330 XSJ-01301 <br /> M Initial Information Reported Wind Speed/Direction <br /> Waste Oil abandoned at Fremont St.by Stokes St. next to pole#3C3202 <br /> Reporting Party Name Address Telephone No. <br /> Sheriff Department's Community 7000 Michael Canlis Blvd. 209 468 4400 <br /> Corp. French Camp, CA 95231 <br /> - Responsible Parry Name Address Telephone No. <br /> N I unknown <br /> Responsible Party Representative Name Address Telephone No. <br /> Unknown <br /> DES HazMat Team DES Personnel On Scene <br /> Activated <br /> YES Robert Lopez <br /> - Joint Team Activated? Datefrime Activated Members On Scene <br /> Q NO <br /> Fire District Mitigation/Removal Actions <br /> 22 City of Stockton Material was identified as waste oil and transported to the county repair shop for <br /> disposal. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> State Warning Center 5/21/01 1530 Jeff Howell <br /> P <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q yes Abandoned Material <br /> Page 2 <br />