Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/04/2023
    TIME: 1257
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3647
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Arcata Fire Protection District
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. Mercury<2 Oz.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP stated, Tool which contained mercury was tipped over and broken and spilled less than two ounces of mercury onto a pourous concrete surface. Spill was stopped and contained with no waterways impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1131 Austin Way
b. CITY:c. COUNTY: d. ZIP:
Arcata
Humboldt County95521NORTH COAST UNIFIED AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/04/20231200 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: City of Arcatae. SEC. AGENCY: Humboldt County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

1
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3647 *********

Created by: Warning Center on: 06/04/2023 12:57:17 PM Last Modified by: Warning Center on: 06/04/2023 01:10:53 PM