Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/22/2024
    TIME: 1157
    RECEIVED BY:
    CONTROL#:
    Cal OES -
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
n
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. Test=1 Cup(s)OTHER1YesYes
2. = NoNo
3. = NoNo
g. DESCRIPTION: test
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
YescanalYes
l. MARITIME VESSEL
No
m. KNOWN IMPACT
3. a. INCIDENT LOCATION:
b. CITY:c. COUNTY: d. ZIP:
Paradise
Butte CountyBUTTE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/22/202411 Other
Description for Other : m
Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Butte County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5A
Cal OES Region:
CSWC Managers, PARKS & REC
Photo Attachment:
11. Cal OES Reg.
********* Control No: *********

Created by: Warning Center on: 03/22/2024 11:57:00 AM Last Modified by: Warning Center on: 03/22/2024 01:13:10 PM