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Aug 28 013 02: 37p San - ,aquin Counts OES 209468?"10 p. 14 <br /> .. J <br /> e4 •1N 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 /> C9G/FORa�P <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Occured Time Incident Date At Some Time At Scene SIDES Incident No. <br /> � Occured <br /> 3/5/2001 1430 3/5/2001 2130 XSJ-01261 <br /> M Initial Information Reported Wind Speed/Direcuon <br /> �— Public Works reported 1 x 5 gallon jug with various inside container of <br /> unknown material abandoned on the north side of Rick Ave.in Stockton. <br /> Reporting Party Mame Address Telephone No. <br /> Public Works 1810 E.Hazelton St. (209)468-3074 <br /> Stockton,CA 95205 <br /> Responsible Party Name Address Telephone No. <br /> N None <br /> Responsible Party Representative Name Address Telephone No. <br /> None <br /> r_ <br /> DES HazMat Team DES Personnel On Scene <br /> Activated <br /> YESRobert <br /> Joint Team Activated? Daterrime Activated Members On Scene <br /> O No <br /> Fire District Mitigation/Removal Actions <br /> _. 22 City of Stockton Material was identified DTSC funded the cleanup,CLU#2001-03-030A. <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 3/5101 1530 Jeff Howell <br /> DTSC 315/01 1535 Allen Freihofer <br /> P <br /> Sheriffs Office 3/5/01 1525 Dispatch <br /> Reporting Officer Signature CHMJR Filed? Incident Type <br /> Q yes Abandoned Drug Lab Related Materials <br /> Page 2 <br /> r <br /> r <br />