Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/10/2024
    TIME: 1427
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2698
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
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. Plastic=Unknown UnknownOTHERPlasticNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting party states there is a mountain of plastic at the given location on the roadway. The reporting party states the plastic is in the middle of no where up in the mountains. There has been no remedial actions.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: Kenny Creek Road
b. CITY:c. COUNTY: d. ZIP:
Branscomb
Mendocino CountyMENDOCINO COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/10/20241000 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Mendocino County Health Departmente. 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
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2698 *********

Created by: Warning Center on: 05/10/2024 02:27:54 PM Last Modified by: Warning Center on: 05/10/2024 02:39:45 PM