Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/29/2022
TIME: 0810		RECEIVED BY: CONTROL#:
Cal OES - 22-6992
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
San Joaquin Public Works
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. Hydraulic Fluid=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: On 11/26/2022 a resident notified San Joaquin County Sheriffs of a possible hydraulic fluid release onto the road, no waterways were impacted. San Joaquin County Public works completed spill clean up using absorbents on 11/26/2022. San Juaquin County Public Works is still investigating the scene and additional clean up maybe necessary of the compact dirt shoulders on each side of the road. The resident that notified the Sheriffs office said a tractor broken had down but left the scene before any responding agency was on scene.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 21610 N Davis Rd
b. CITY:c. COUNTY: d. ZIP:
Lodi
San Joaquin County95242SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/26/20221430 Road Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
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: 22-6992 *********

Created by: Warning Center on: 11/29/2022 08:10:24 AM Last Modified by: Warning Center on: 11/29/2022 08:26:28 AM