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Oct 12 09 10: 43a San Joaquin C 20SS536269 p. 14 <br /> n. <br /> SAN SOAQUIN COUNTY -OFFICE OF EMERGENCY SERVICES <br /> r.= HAZARDOUS MATERIALS RESPONSE PROGRAM <br /> 2101 E.Earhart Avenue,Suite 300,Stockton,CA 952'06 <br /> Telephone(209)953-620[} <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Ommod imelocident Lo5A:", Time At Scene OES Incident No. <br /> ccumd <br /> 2115/2001 1410 1 1430 XSJ-01296 <br /> Initial Information Reported end SpeedMirection <br /> Abandoned container possible paint related material Calm <br /> eporting Party Name Address Telephone No. <br /> Carla, 1810 Hazelton Rd 468.3074 <br /> Co.Road Maint Stockton,CA <br /> uponsible Party Name Address Telephone No. <br /> N Unknown <br /> ponsible Party Repmsentcdve Name Address elephone No. <br /> Unknown <br /> ES HazMat Teatn OFS Personnel an Scene <br /> ctivated <br /> .Ff1riS57 <br /> NO <br /> Joint Team Activated? atefrime Activated Members On Scene <br /> p NO <br /> Eire District MitigationlRemoval Actions <br /> 04 FarWrigbm !!Material had solidified and was removed. <br /> Agency Notifications and/or Referrals <br /> e of Agency Date orfNeHficativn Time of Notification Name of Representative <br /> oriflcd <br /> P <br /> Reporting Officer Signature CHMIR Filed? ncidernt Type <br /> Q No Abandoned Materlai <br /> Page 2 " <br />