Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/24/2024
    TIME: 1334
    RECEIVED BY:
    CONTROL#:
    Cal OES -
    NRC - Duplicate to spill to 24-2989
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Delete
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. N/A=N/A N/APETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Duplicate to spill to 24-2989
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION:
b. CITY:c. COUNTY: d. ZIP:
\
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/24/20241313 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1
NoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: ERROR: Server error: Entry not found in indexe. SEC. AGENCY: ERROR: Server error: Entry not found in index
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
11. Cal OES Reg.
********* Control No: *********

Created by: Warning Center on: 05/24/2024 01:34:13 PM Last Modified by: Warning Center on: 05/27/2024 05:41:41 AM