Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/21/2024
    TIME: 1502
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5966
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP
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. Oil =1 Gal(s)PETROLEUMNoNo
2. Gasoline=2 Gal(s)PETROLEUMNoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a two vehicle collision caused a release of some motor fluids all onto the roadway and dirt divider. Release has been stopped and contained with no impacts into waterways. Clean up will be conducted by contractors.
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: North Bound US 101 quarter mile South of 10th St
b. CITY:c. COUNTY: d. ZIP:
San Miguel
San Luis Obispo CountySAN LUIS OBISPO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/21/20241413 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CALFIRE, CHP
d. ADMIN. AGENCY: San Luis Obispo County Public Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5966 *********

Created by: Warning Center on: 10/21/2024 03:02:39 PM Last Modified by: Warning Center on: 10/21/2024 03:07:26 PM