Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/04/2024
    TIME: 1514
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2021
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of San Jacinto
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Motor oil=3 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, due to a 5 vehicle collision there was a release of less than 3 gallons of motor oil from a truck and 1 fatality. The release was onto the dirt and road, no waterways were impacted. . The road was closed at time of incident, they are back open now.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: W Ramona Expy at N San Jacinto Ave, Lat. 33.801389, Long. 116.959028
b. CITY:c. COUNTY: d. ZIP:
San Jacinto
Riverside County92583SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/04/20240815 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1		NoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Dept of Environmental , Police Dept
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2021 *********

Created by: Warning Center on: 04/04/2024 03:14:53 PM Last Modified by: Warning Center on: 04/04/2024 03:39:12 PM