Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/01/2023
    TIME: 1142
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0884
    NRC - 1359028
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Unknown Oil=Unknown SheenPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: "Caller is reporting an unknown sheen from an unknown source in an unnamed creek that is a tributary to the Klamath River. The caller wanted to make sure that the OSC does not get confused with the town of Klamath. The reporting party would like to be contacted."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesUnnamed CreekNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: HWY 96
b. CITY:c. COUNTY: d. ZIP:
Klamath River
Siskiyou CountySISKIYOU COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/01/20231130 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Siskiyou County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

1
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, COASTAL COM, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0884 *********

Created by: Warning Center on: 02/01/2023 11:42:28 AM Last Modified by: Warning Center on: 02/01/2023 11:46:58 AM