Governor's Office Emergency Services |
TIME: 1215 |
|
Cal OES - 23-6140 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | CHP Humboldt | ![]() | ![]() | ![]() |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Diesel | > | 100 | Gal(s) | PETROLEUM | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per Caller "Due to earlier weather conditions driver was going to fast went off the side of the road on to dirt. Semi truck was carrying over 100 gals. Unknown on how much actually spilled. Semi truck is over turned. Unknown if the spill is secured and contained. CHP on site." | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Not stopped, Not contained | No | N/A | No |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: SB 101. Bridge between Stanford and Shibely Mile Mark: 52.1 | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Scotia | Humboldt County | 95565 | NORTH COAST UNIFIED AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
09/25/2023 | 1007 | Road | Collision |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Unknown |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
d. ADMIN. AGENCY: Humboldt County Environmental Health | ![]() | e. SEC. AGENCY: |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 1 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |