Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/28/2023
    TIME: 1610
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-2281
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
California Highway Patrol - Susanville
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=50 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting party states there is a big rig with a trailer that has damages to the left rear of the cab. The damage caused the release of 50 gallons of diesel onto the dirt shoulder. California Highway Patrol is on the scene. The release has been stopped and contained.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Highway 395, Near Mile Post 135 South of Nelson Reservoir Rd
b. CITY:c. COUNTY: d. ZIP:
Madeline
Lassen CountyLASSEN COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/28/20231557 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CHPCal Trans
d. ADMIN. AGENCY: Lassen County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CHP, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-2281 *********

Created by: Warning Center on: 03/28/2023 04:10:34 PM Last Modified by: Warning Center on: 03/28/2023 04:20:38 PM