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Spr 29 11 03:46p San Joaquin Cc DES 2099536261 p• 3 <br /> q�4• T ., SAN JOAQUIN COUNTY -OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS RESPONSE PROGRAM <br /> t*4 2101 E. Earhart Avenue,Suite 300;Stockton,CA 95206 <br /> Telephone(209)953-6200 <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date lnrtdent Oc 4VA Me lneidetttRett At Scene time At Scene OES Incident No. <br /> CCttr� <br /> 12/26/2001 0930 17.126/2001 1007 XSJ-01526 <br /> Inieial Information Roported Wind SpecdlDirecdon <br /> Drug lab dumping on the side of the road and on fire.$10 on scene. NW.(0 1-2 <br /> Reporting Farcy Mame Address 'telephone No. <br /> SFO Dispatch 7000 Michael N.Canlis Blvd. 209.4'68-4400 <br /> Pa French Camp,CA 95231 <br /> Responsibie Party Name. Addrass Telephone No. <br /> N Unknown Unknown Unknown <br /> Responsible Party Repmentativc Name Address Telclitme No. <br /> Unknown Unknown Unknown <br /> 06S HazMat Team DES Personnel On Scene <br /> C ctivamd <br /> P.Cook OES9 <br /> X10 <br /> Joint Team Activated? Date/Time Activated Members On Scene <br /> O NO <br /> Fire District Miti gatiorJRemoval Actions <br /> i 09 Tipsy Material wits identihrd. Cleanup was funded by D't•SC under CLUF-#2001-12-136A. <br /> Agency Notifications andlor Referrals <br /> me of Agency Date of Notification Time of Notification Name of Repmentntive <br /> Notified <br /> State Warning Center .12126/01 1052 Kevin'Godwin <br /> DTSC 12126/01 1057 Gary Shapiro <br /> P <br /> Repotting Officer Signature CWAR Fled? ncidentl�•pe <br /> Q ye Abaneionea Drug Lab flelated Materials <br /> k <br /> Page 2 <br /> i <br /> l <br />