Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 09/24/2021
TIME: 1759
RECEIVED BY: CONTROL#:
Cal OES - 21-5267
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
California Highway Patrol (CHP) - Merced
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. Fuel, gasoline<10 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A passenger vehicle struck road debris at or near the listed location. The incident resulted in a damaged fuel tank and a gasoline release to the roadway and dirt shoulder. The CHP is on-scene. No fires or injuries were reported and no road/lane closures were imposed. Caltrans is en route to assist with the cleanup.
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: Northbound State Route 99, just south of Applegate Road
b. CITY:c. COUNTY: d. ZIP:
Atwater
Merced CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/24/20211725 Road Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHPNone
d. ADMIN. AGENCY: Merced County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, Co/WP, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-5267 *********

Created by: Warning Center on: 09/24/2021 05:59:07 PM Last Modified by: Warning Center on: 09/24/2021 06:22:28 PM