Governor's Office Emergency Services |
TIME: 0724 |
|
Cal OES - 23-6128 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
CHP Humbolt |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Ready mix | = | 200 | Lbs. | CHEMICAL | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per caller: Tank trailer collision, over turned rolled on to the side blocking the road, driver is hurt, transported to hospital for minor injuries. The release is contained to the road shoulder, 200 lbs of mix and 200 yds into the road, will be closed up to 6 hours. No waterways were impacted. | ||
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | Unknown | No | No |
l. MARITIME VESSEL No | m. KNOWN IMPACT Road Closure | ||
3. a. INCIDENT LOCATION: MM 96.42, North of Standish-Hickey State Park | |||
b. CITY: | c. COUNTY: | d. ZIP: | |
Leggett | Mendocino County | MENDOCINO COUNTY AQMD | |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
09/25/2023 | 0620 | Road | Unknown |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
Yes Injuries #: 1 | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
Cal Trans, CHP | Health |
d. ADMIN. AGENCY: Mendocino County Health Department | e. SEC. AGENCY: | |
f. ADDITIONAL COUNTY: | g. ADMIN. AGENCY: | |
h. NOTIFICATION LIST: | ||
Cal GEM: | RWQCB Unit: | 1 |
Cal OES Region: | ||
Photo Attachment: |