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SAN JOAQUIN UY OFFICE OF EMERGENCY'RVICES <br /> INCIDENT REPORT CO ,�E. Weber Ave., Stockton, CA 95202-(209) 468-3962 <br /> ADDITIONAL INFORMATION OR FURTHER DESCRIPTION OF CHARACTERISTICS OF EMERGENCY <br /> E <br /> _ DES PERSONNEL ACTIVATED DATE/TIME INITIALLY AT SCENEtEOC <br /> John Austin DATE TIME <br /> 11/19/2004 1200 <br /> FIRE DISTRICT JOINT TEAM ACTIVATED MEMBERS ON SCENE <br /> 15Waterloo-Morada NO <br /> F DATE/TIME ACTIVATED <br /> HAZMAT IDENTIFICATION SOURCES MITIGATION/REMOVAL ACTIONS <br /> PERSONNEL REFERENCE MATERIAL <br /> 40 On-Site Non-Fire Field Analysis Determined no hazard in current state;called Pub Wks for disposal <br /> Services <br /> SUMMARY OF ACTIONS TAKEN BY OES PERSONNEL <br /> 42 ID/Analysis of HM <br /> 92 Refer to proper authority <br /> G <br /> CASUALTIES AND DAMAGE CAUSED AS A RESULT OF INCIDENT <br /> FATALITIES INJURIES DECONTAMINATED STRUCTURES OTHER LOSSES/COMMENTS <br /> DESTROYED <br /> RESPONDING 0 0 0 0 0 <br /> II AGENCY PERSONNEL <br /> AFFECTED BUSINESS 0 0 0 STRUCTURES <br /> DAMAGED <br /> V <br /> PUBLIC 0 0 0 0 <br /> ` AGENCY NOTIFICATIONS AND/OR REFERRALS <br /> NAME OF AGENCY DATE OF NOTIFICATION TIME OF NOTIFICATION NAME OF REPRESENTATIVE <br /> NOTIFIED <br /> State Warning Center 11/22/04 0758 Bob McRae <br /> County Road Maintenance 11/19/04 1322 Charlotte <br /> I <br /> OTHER DOCUMENTS OR INFORMATION DEVELOPED FROM INCIDENT <br /> r <br /> J <br /> REPORTING OFFICER NAME DATE FLED COMMENTS <br /> IDENTIFICATION NO. ATTACHED <br /> K J Austin, OES-4 11/23/2004 NO <br /> Page 2 <br />