Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/17/2024
    TIME: 1407
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-1021
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Riverside Co EH
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. Coolant and transmission fluid=10 Gal(s)CHEMICAL, PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: The substances released onto the road due to a traffic accident involving a dump truck and a pickup. The reporting party will be calling back to make an update on whether there were any injuries/fatalities/evacs.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Intersection of 4800 West Wilson and 800 Highland Home Rd
b. CITY:c. COUNTY: d. ZIP:
Banning
Riverside CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/16/20241400 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
UnknownUnknownUnknownResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept., Police Dept.
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

7
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-1021 *********

Created by: Warning Center on: 02/17/2024 02:07:10 PM Last Modified by: Warning Center on: 02/17/2024 02:17:45 PM