Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/02/2022
TIME: 1205
RECEIVED BY: CONTROL#:
Cal OES - 22-5802
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
UPRR
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. vehicle vs train=1 N/ARAILROADNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states: A vehicle backed into a parked train that was being worked on. No release occurred or injuries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherNoNo
Detail for Other: No release
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: MP 104.8 on the Martinez Sub
b. CITY:c. COUNTY: d. ZIP:
Roseville
Placer County95678PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/02/20221100 Rail Road Unknown
R/R Crossing less than 50 feet from incident site? Unknown
UPRR RIM#: See confidential
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNonone
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Roseville PD
d. ADMIN. AGENCY: Roseville Fire Departmente. SEC. AGENCY: Placer County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5802 *********

Created by: Warning Center on: 10/02/2022 12:05:14 PM Last Modified by: Warning Center on: 10/02/2022 12:10:48 PM