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Sep 15 06 02: 59p San Joaquin County OES 2094682600 p. 3 <br /> R4V IN. SAN JOAQUIN COUNTY -OFFICE OF EMERGENCY SERVICES <br /> s4.�.co <br /> 2` y HAZARDOUS MATERIALS DIVISION <br /> e: <br /> 222 East Weber Avenue,Room 610,Stockton,CA 95202 <br /> Telephone (209)468-3969 <br /> .o4crFop�`Y <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> [DaWcident Occured Time Incident Date Al Scene Time At Scene SJOELS Incident No. <br /> O<curcd2001 1640 8/18/2001 1705 XSJ-01392 <br /> nformation Reported Wind Speed/Dircetion <br /> oned backpack containing unknown chemicals Calm <br /> Reporting Party Name Address Telephone No. <br /> Deputy Nugent 7000 Michael Canlis Blvd 209-468-4400 <br /> San Joaquin Co.Sheriff's Office French Camp,CA 95231 <br /> Responsible Parry Name Address Telephone No. <br /> Unknown <br /> Responsible party ReprescntaLLve Name Address Telephone No. <br /> Unknown <br /> OES HazMat Team OPS Personnel On Scene <br /> Activated <br /> Parissi <br /> NO <br /> Joint Team Activated? Datefrime Activated Members On Some <br /> O 1 NO <br /> Fire District Mitigation/Removal Actions <br /> 22 City of Stockton Materials identified and removed by DTSC contractor- ERER 2001-07-12 <br /> S.O.Case Number 01-18675 <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> DTSC 8/18/01 1803 Sam Martinez <br /> I' State Warning Center 8/18/01 1745 Bob Mcrae <br /> Reporting Officer Signature CHMIR Fled? Incident Type <br /> Q Yes Abandoned Material <br /> Page 2 <br />