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Jan 04 06 04: 14p San Joaquin County IDES 2094682600 p, 6 <br /> oAa.urn, 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 /> 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 /> 4/2/2001 1445 XSJ-01274 <br /> M Initial Information Reported Wind Speed/Direction <br /> Unknown yellow powder on the road. <br /> Reporting Party Name Address Telephone No. <br /> CHP throujh Rd Maintenance 468-3074 <br /> Responsible Party Name Address Telephone No. <br /> N <br /> Responsible Party Representative Name Address Telephone No. <br /> OES HazMat Team OES Personnel On Scene <br /> Activated <br /> Joint Team Activated? Date/Time Activated Members On Scene <br /> O <br /> Fire District Mitigation/Removal Actions <br /> 02 Ripon <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> P <br /> Q Reporting Officer Signature CHMTR Filed? Incident Type <br /> Page 2 <br />