Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/24/2024
    TIME: 1728
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2997
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Siskiyou County Environment Health
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. Carbamates Pesticide=3 Lbs.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION:
Per the reporting party: A fumigation discharge at a marijuana grow released 3 lbs of a Carbamates Pesticide into the atmosphere. This release has been stopped and is unrecoverable. No waterways were impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Parcel number: 100-031-030 // Tollins Drive
b. CITY:c. COUNTY: d. ZIP:
Montague
Siskiyou CountySISKIYOU COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/24/20241100 Other
Description for Other : Rural 		Other
Description for Other : Pest control
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Sheriff Ofc.
d. ADMIN. AGENCY: Siskiyou County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

1
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2997 *********

Created by: Warning Center on: 05/24/2024 05:28:41 PM Last Modified by: Warning Center on: 05/24/2024 05:45:22 PM