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Sep 22 06 09: 42a San Joaquin County OES 2094682600 p. 9 <br /> Palt`N SAN JOAQUIN COUNTY-OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 East Weber Avenue,Room 610, Stockton, CA 9202 <br /> Telephone (209)468-3969 <br /> 9��FOR� <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 /> 3/11/2002 1040 3/11/2002 1118 XSJ-01577 <br /> M Initial Information Reported Wind Speed/Direction <br /> Truck leaking fuel on Stockton St. and Thornton Rd. in Thornton Calm <br /> Reporting Party Name Address Telephone No. <br /> S/O Dispatch 7000 Michael N.Canlis Blvd (209)468-4400 <br /> French Camp,CA 95231 <br /> Responsible Party Name Address Telephone No. <br /> N SMX Inc P.O. Box 778 800-468-6196 <br /> Homedale,Idaho 83628 <br /> Responsible Party Representative Name Address Telephone No. <br /> leview Circle <br /> Jerry Valencia Guerrero 8863 Map (208)322-2883 <br /> Boise.Idaho 83704 <br /> OES HazMat Team OES Personnel On Scene <br /> Activated <br /> NO OES 5(A.Bentley) <br /> Joint Team Activated? DateMme Activated Members On Scene <br /> O NO <br /> Fire District Mitigarion/Removal Actions <br /> 17 Thornton Applied absorbent to spill area. Removed by Public Works and transported to yard <br /> per Environmental Health's instruction. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> Environmental Health 3/11/02 1125 Michelle Sterni-Lee <br /> State Warning Center 3/11/02 1320 Kavin Godwin <br /> P <br /> Reporting Officer Signature CHMIR Filed? Incident Type <br /> Q 02-1349 Mobile Vehicle Internal Fuel/Oil <br /> Page 2 <br /> v <br />