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COUNTY of SAN JOAQUIN <br />Information Reported Herein is Considered <br />Privileged And Confidential. <br />Ifim :14;101 :4 1 <br />OWNER <br />County of San Joaquin — Public <br />Works Dept. — Solid Waste <br />Division -North County Recycling <br />Center & Sanitary Landfill <br />ADDRESS <br />17720 E. Harney Lane <br />Lodi, CA 95240 <br />PHONE <br />209-887-3868 <br />DIVISION <br />LOCATION CODE <br />"ENT <br />PUBLIC WORKS SOLID WASTE <br />40900 <br />PHONE <br />(209) 468-3066 <br />DEPARTMEN <br />REPORTING <br />5S <br />1810 E. HAZELTON <br />INCIDENT <br />CITY STATE ZIP <br />STOCK'TQN CA 95205 <br />DATE, <br />TIME & <br />DATE AND TIME OF INCI `"' <br />06-11-07 8:05 m.Y <br />PLACE <br />North County Recycling Center & Sanitary Landfill <br />17720 E. Harney Lane, Lodi, CA 95240 <br />Jo Baker -Warren, Acting Supervisor for Cashier's, received a call from Jack Thompson, MRF Supv. <br />Asking her to check out a report from the Linden -Peters Fire District that there was a fire on the <br />premises of the North County Landfill. Upon arrival at <br />Approximately 8:30 p.m., she observed a Linden -Peters Fire truck on scene and a fire at the working <br />face of the landfill. <br />Jaime Perez, Operations Manager arrived and took charge of the scene. Mr. Perez called Wilfrido <br />DESCRIPTION <br />Garcia, Equipment Operator II to <br />Assist and we smothered the fire with dirt. Mr. Garcia operated the J.D. 850C and Ms. Warren <br />operated the CAT 950F to move the dirt. After the fire was out, the equipment properly stored and <br />the eremises secured, all personnel left ata proximate) 10:30 p.m. <br />OF <br />INCIDENT <br />USE REVERSE SIDE IF NEEDED <br />NAME <br />PHONE <br />AGE <br />NONE <br />ADDRESS <br />OCCUPATION <br />EMPLOYED BY <br />INJURED <br />PERSON <br />NATURE AND EXTENT OF INJURY <br />WHERE WAS INJURED TAKEN AFTER INCIDENT? <br />OWNER <br />County of San Joaquin — Public <br />Works Dept. — Solid Waste <br />Division -North County Recycling <br />Center & Sanitary Landfill <br />ADDRESS <br />17720 E. Harney Lane <br />Lodi, CA 95240 <br />PHONE <br />209-887-3868 <br />