Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 04/13/2021
TIME: 2325
RECEIVED BY: CONTROL#:
Cal OES - 21-1963
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Indio CHP
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. Diesel <50 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states a driver hit an unknown object on the freeway that punctured the saddle tank. The driver was able to pull on right hand shoulder. Stopped and contained with no waterways impacted. Spill onto dirt and asphalt.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Westbound interstate 10 just west of Haugen Lehmann
b. CITY:c. COUNTY: d. ZIP:
White Water
Riverside CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/13/20212243 Road Other
Description for Other : Road Hazard
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CALFIRE, CHP
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
i. Cal GEM:
j. RWQCB Unit:

7
k. Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CHP
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-1963 *********

Created by: Warning Center on: 04/13/2021 11:25:41 PM Last Modified by: Warning Center on: 04/13/2021 11:33:01 PM