Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 12/29/2018
TIME: 0134
RECEIVED BY: CONTROL#:
Cal OES -
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
BNSF
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. DELETE=DELETE N/AOTHERDELETENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states passenger train A1718128A was invovled in a train vs. vehicle incident at MP 1089.27 in the Stockton Subdivision. The sole occupant of the vehicle was fatally injured in the incident. The train has been released from the scene, no further delays on the line are expected at the time of this report. The incident occurred at a grade crossing--DOT 028743G. The grade crossing was working properly at the time of the incident. No hazardous material release occurred.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNo
l. KNOWN IMPACTNone
3. a. INCIDENT LOCATION: MP 1089.27 in the Stockton Subdivision
b. CITY:c. COUNTY: d. ZIP:
Empire
Stanislaus CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/28/20182249 Other
Description for Other : DELETE
Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1
NoDELETE
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CHP
d. ADMIN. AGENCY: Stanislaus County Environmental Resourcese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
5B
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
********* Control No: *********

Created by: Warning Center on: 12/29/2018 01:34:05 AM Last Modified by: Warning Center on: 01/23/2019 11:25:33 AM