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Feb 23 05 10: 27a San � aquin County DES 209488£ p, 25 <br /> 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 /> •�dCfFpSr'ta�• <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> FWasteoil <br /> ored Time Incident Dale At Scene Time At Some SJOFS Incident No. <br /> Occured <br /> 1700 1/25/1999 1715 XSJ-00783 <br /> M Reported Wind Speed/Directioe <br /> doned in 30 gallon drum and 2- 1 gallon milkcontainers 2-3 mph <br /> Reporting Party Name Address Telephone No. <br /> Tish Briggs 304 E.Weber (209)468-3420 <br /> San Joaquin Co.Envir Health Stockton,CA 95202 <br /> Responsible Party Name Address Telephone No. <br /> N unknown <br /> Responsible Party Representative Name Address Telephone No. <br /> none <br /> DES HazMat Team DES Personnel On Scene <br /> Activated <br /> No OES 5(A.Bentley)and OES 7(R.Lopez) <br /> Joint Team Activated? Date/Time Activated Members On Scene <br /> O <br /> Free District Mitigation/Removal Actions <br /> Stockton Fire Apply absorbent and remove with small amount of soil. <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> SJ County Envir Health 1/25/99 1715 Michael Kiih <br /> P <br /> Reporting Officer Signature CFIMIR Piled? Incident Type <br /> r Q Abandoned Material <br /> Page 2 <br />