Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/16/2024
    TIME: 1956
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2252
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP Stockton
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. Talsar (insecticide)=1/2 Gal(s)CHEMICALNoNo
2. Taur (insecticide)=20 Oz.CHEMICALNoNo
3. ULDBP 10=1/2 Gal(s)CHEMICALNoNo
g. DESCRIPTION: ADDITIONAL SUBSTANCES RELEASED:
Selontra Rodent Bait - 8 lb bag;
Advion Ant - a few ounces;
Gentrol (active ingredient is hydroprene) - 1 pint;
Rodent Base (in granule powder form) - 1/4 lb

Per reporting party: A vehicle collision caused the above seven substances to release onto the side of the road near an orchard, no waterways impacted. Driver complained of pain and was taken to the county hospital. CalTrans will do cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: SR 120, east of Murphey Road
b. CITY:c. COUNTY: d. ZIP:
Ripon
San Joaquin County95366SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/16/20240211 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1
NoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CHP, Fire Dept.CalTrans
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CALTRANS, CHP, DPR, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2252 *********

Created by: Warning Center on: 04/16/2024 07:56:52 PM Last Modified by: Warning Center on: 04/16/2024 08:16:11 PM