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Ileo 07 10 05s45p San Joaquin C 2099536268 p.6 <br /> SAN JOAQLUN COUNTY OFFICE OF EMERGENCY SERVICES <br /> INCIDENT REPORT .2101 E_Earhart Ave., Suite 300,Stockton,CA 95206 (209)953-fi2,i�0 <br /> ADDITIONAL INFORMATION OR FURTHER DESCRIPTION OF cHARACPEmSTIC5 OF EMERGENCY <br /> Dirt berms constructed to stop flow.from rainwater runoff from entering Dry Creek. <br /> E <br /> OS5 P1;RSONNEI ACTIVAT ED DAT nMS INITIALLY AT SCENE/60C <br /> DATE TIME <br /> Robert Lopez 2/70/2004 1800 <br /> FIR]:DISTRICT JOINT TEAM ACTIVATED MEMBERS ON SCENE <br /> 12 Liberty NO <br /> F DATE1I7tc+IE ACI VA IW <br /> HAZMAT IDESIJTIf•ICAT ION SOURCES I 1VIITICRATIONIREMOVAL AC nONS <br /> PERSONNEL. CE MATERIAL <br /> 40 On-Site Arlon-Fre Field Analysis Materials removed by DISC contractor under CLUE 0401-080. <br /> Services <br /> SUMMARY QFACMNS TAKEN BY P <br /> 41 Remove Hazard;4Z ID/Analysis of Hazmat;47 Decon Area(Clean up);48 Cntitain/Control Hazmat;63 Notify <br /> Other Agency;64 Provide Public Info. <br /> G <br /> CASUALTIES AND DAMAGE CAUSED AS A RESULT OF INCIDENT <br /> FATALITIES INJURIES DecON I'AmINATED 37RI3C77,fRFS OTHEP,LOSSESICOMMENTS <br /> DESTROYED <br /> RESPONDING NIA NIA NIA N/A NIA <br /> k H AGENCY PERSONNEL <br /> AFFECTED BUSINESS NIA N/A NIA DAMAGED <br /> TU <br /> PUBLIC NIA NIA NIA NIA <br /> AEiEsNCY NOTIFICATIONS ANMR REFERRALS <br /> NAME OF AGENCY DATE OF NOTIFICATION 77MEs OF NOTIFICATION NAME REPRESENTATIVE <br /> DTSC 2/20/04 1200 Ivan Rodriguez <br /> State Warning Center 2123104 1037 Sibyl Clark <br /> r <br /> OTHER DOCUMENTS OR INFORMATION DEVELOPED FROM INCIDENT <br /> State OES Spill Report,Uniform Hazardous Waste Manifests,D'I'SC Clan Lab Incident Report,DTSC Clan lab <br /> J Cleanup Work Log, Cunuwtor Work Log,and site map. <br /> REPORTING OFFICER NAME DATE FILED COMMENTS <br /> IDENTIFICATION NO, ATTACHED <br /> K R Lopez,OES7 315!2004 YES <br /> ` I Page 2 <br />