Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/16/2023
    TIME: 2206
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5969
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP Gold Run
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP Gold Run
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Diesel =50 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states there was a traffic collision involving a single semi truck that is approximately 40,000 lbs. Involved vehicle is a white Freightliner Cascadia semi box trailer, vehicle is off shoulder in a ditch, the truck did not catch on fire. It lost one saddle tank that was leaking onto the dirt, the other saddle tank is still attached but possibly leaked diesel as well into the dirt. Possible 50 gallons released at this time, compacity remaining of 200 gallons. The leak is stopped and contained. No waterways were effected. The fire dept is on scene and Cal Trans is in route for clean up. CHP Dispatch has not been advised of any lane closures or impacts to traffic. The truck driver has minor injuries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/A
l. MARITIME VESSEL
No		m. KNOWN IMPACT
3. a. INCIDENT LOCATION: WB I 80 east of Cisco Grove
b. CITY:c. COUNTY: d. ZIP:
Cisco Grove
Placer County95724PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/16/20232131 Road Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.CHPCal Trans
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, CALTRANS, CHP, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5969 *********

Created by: Warning Center on: 09/16/2023 10:06:51 PM Last Modified by: Warning Center on: 09/16/2023 10:47:28 PM