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Feb 23 05 10: 28a San yaquin County OES 2094682 p. 26 <br /> qp <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 /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Oceured rune Incident Date At Scene Time At Scene SJOES Incident No. <br /> ccnred <br /> 6/1/2000 1500 6/1/2000 1545 XSJ-01069 <br /> M Initial Information Repotted Wind Speed/Directioc <br /> Abandoned Clan Lab materials West at 10 <br /> Reporting Patty Name Address Telephone No. <br /> Cormie Bailey 25474 E Highway 4 209-885-5321 <br /> Farmington FD Farmington, CA 95230 <br /> Responsible Patty Name Address Telephone No. <br /> N Unknown <br /> Responsible Patty Representative Name Address Telephone No. <br /> Unknown <br /> OPS HazMat Team OES Personnel On scene <br /> Activated <br /> Parissi,Cook <br /> YES <br /> Joint Team Activated? DateTime Activated Members On Scene <br /> O NO <br /> Fin:District Midgatioo/Removal Actions <br /> 04 Farmington Material removed by DTSC contractor <br /> Agency Notifications and/or Relermis <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> Env.Health 6/1/00 1640 Harlan Knoll <br /> OES Warmng Center 6/1/00 1645 DanelleLartgford <br /> P <br /> DTSC 6/10/00 1720 Chris Marxen <br /> Reporting Officer Siguaham CHMIR Piled? Incident Type <br /> Q yes Abandoned Matedal <br /> Page 2 <br />