Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 08/09/2022
TIME: 1543
RECEIVED BY: CONTROL#:
Cal OES - 22-4569
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Caltrans
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 =10 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller states a 45 ft mobile home had an engine failure and caused a release of 10 gallons of oil onto asphalt. Release is stopped and contained with no waterways impacted. #2 lane was closed from 1416 hours until 1520 hours.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: MP 52.04 // Interstate 5 just outside of Yreka
b. CITY:c. COUNTY: d. ZIP:
Yreka
Siskiyou CountySISKIYOU COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/09/20221318 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, CHP
d. ADMIN. AGENCY: Siskiyou 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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-4569 *********

Created by: Warning Center on: 08/09/2022 03:43:57 PM Last Modified by: Warning Center on: 08/09/2022 03:52:34 PM