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Dec 07 10 05: 44p San Joaquin C 2099536268 p, 3 <br /> SAN JOAQUIN COUNTY -OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS RESPONSE PROGRAM <br /> 2101 E-Earhari Avenue,Suite 300,Stockton,CA 95206 <br /> Telephone(209)953-6200 <br /> ADDENDUM TO <br /> CALIFORNIA HAZARDOUS MATERIALS INCIDENT REPORT <br /> Date Incident Oc=ed Time Incident Date At ScreeTime At Set ne OES incident No. <br /> ccured <br /> 3/9/2002 1210 319!2002 1300 XSJ-01576 <br /> M 444 lnformauan Reported Wind Speed/D•uection <br /> Abaondoned lab material on the side of the Toad. <br /> eporting Patty Name Address Telephone No. <br /> 7000 Michael N,Canlis Blvd. <br /> S/O Dispatch French Camp,CA 45231 209-468-4400 <br /> esponsibte Party Name Address Tetepbone No. <br /> Unknown Unknown Unknown <br /> Responsible,Pnny Representative Name Address IrcItphoric No. <br /> Unknown Unknown Unknown <br /> BS HAWat Team OFS Personnel On Scene <br /> divaud <br /> NO Robert Lopez <br /> Joint Team Activatcr Duteffirne Activated Members On Scene <br /> O NO <br /> ]Fire Distriv NEtigatlon/Renloval Actions <br /> 12 Liberty Materials removed by DISC c=mtor under CLUE#2:0M-03-059A <br /> Agency Notifications andfor Referrals <br /> 'ama of Agency i Date of Natification Txmc of NotificWon Name of Representative' <br /> odfied <br /> State Wat'ning Center 3NI02 1301 Bob Mcrae <br /> DISC 3/9/02 1315 Carlos Ortega <br /> P <br /> RcportingOtGcer5ignsture CHMIRFiiled? 'debt Type <br /> Yes Abandoned Drag Lab Related Materials <br /> Page 2 <br />