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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 /> htib- <br /> CALIFORNIA HAZARDOUS MATERIALS REPORT ADDENDUM <br /> A <br /> ' <br /> Date Incident Occured Time Incident ate Scene fime At Scene SJOES Incident No, <br /> Occured <br /> 7/9/1993 1810 070993 <br /> M Initial Information Wind Speed/Direction <br /> Information Reported <br /> Grass fire involving(12)55 Gallon drums and(5)bags of unknown leaking <br /> material. <br /> Reporting Party Name Address Telephone No. <br /> Mokelurnne F.D.,Capt.Marfinez 2093692913 <br /> Responsible Party Name Address Telephone No. <br /> N Unknown NA <br /> Responsible Party Representative Name Address Telephone No. <br /> NA <br /> OES HazMat Team OES Personnel On Scene <br /> Activated <br /> R.Lopez <br /> Joint Team Activated? DatwTirne Activated Members On Scene <br /> 0 <br /> Fire District Mitigation/Removal Actions -0' <br /> Mokelumne F. D. Pending <br /> Agency Notifications and/or Referrals <br /> Name of Agency Date of Notification Time of Notification Name of Representative <br /> Notified <br /> P <br /> "d <br /> j <br /> -J <br /> Reporting Officer Signature CHAUR Filed? Incident Type <br /> Q <br /> 4 NA Fire,fixed Facility <br /> Page 2 <br />