Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/15/2024
    TIME: 0809
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5208
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Humboldt County Env. Health
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. Gas / Oil / Water Mixture<55 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: Overnight, an unknown individual or individuals uncapped a 55 gallon waste drum and knocked it over, causing a release of a maximum amount of 55 gallons of a gas, oil, and water mixture. This material entered a drainage system, however the caller does not know if it is a storm drain or secondary containment. Local police were notified. No further actions were taken. Cleanup / collection of the material is unknown.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedUnknownUnknownUnknown
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1606 Central Ave.
b. CITY:c. COUNTY: d. ZIP:
McKinleyville
Humboldt County95519NORTH COAST UNIFIED AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/14/20242200 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Local PD
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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5208 *********

Created by: Warning Center on: 09/15/2024 08:09:15 AM Last Modified by: Warning Center on: 09/15/2024 08:20:59 AM