Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/28/2024
    TIME: 1021
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4854
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Caltrans
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. Tact Oil (for Paving)<20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, Due to a collision, at least 20 gallons of tack oil used for paving have impacted the asphalt. The release is still ongoing and has flowed into a dry culvert. The road was already closed, and Caltrans is using a pilot car to direct traffic. There was one injury: the driver sustained a concussion and was taken to the hospital by the fire department that was on scene. The contractor will handle the cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: Highway 36 post mile 26.5
b. CITY:c. COUNTY: d. ZIP:
Bridgeville
Humboldt CountyNORTH COAST UNIFIED AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/28/20240900 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHP
d. ADMIN. AGENCY: Humboldt 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, CALTRANS, CDPH-D.O., CHP, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4854 *********

Created by: Warning Center on: 08/28/2024 10:21:36 AM Last Modified by: Warning Center on: 08/28/2024 10:38:59 AM