Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/31/2023
    TIME: 1438
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-2362
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP Sacramento
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. Diesel=80 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Semi truck lost its drive shaft due to unknown reasons at the time of report, resulting in the release of the listed substance to release from the saddle tanks of the semi truck. The semi truck was hauling a propane tanker, no reports of release from the propane tanker. Release impacted the asphalt only, no waterways impacted. Cal Trans en route to handle mitigation efforts. This release only affected the right hand shoulder, there is no road closure in place.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: WB 80, East of Penryn
b. CITY:c. COUNTY: d. ZIP:
Penryn
Placer CountyPLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/31/20231340 Road Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHP
d. ADMIN. AGENCY: Placer County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, CALTRANS, CHP, Co/WP, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-2362 *********

Created by: Warning Center on: 03/31/2023 02:38:43 PM Last Modified by: Warning Center on: 03/31/2023 02:48:04 PM