Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/02/2022
TIME: 1243
RECEIVED BY: CONTROL#:
Cal OES - 22-5803
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP - Merced
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP - Merced
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Oil =15-20 Qt.(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Due to a vehicle collision involving an SUV and a semi-truck, Oil released from the semi-truck and onto the dirt on the right hand shoulder. The oil is on contained to the dirt. CHP and CalFire are on site. The Reporting Party will be contacting Environmental Health for the cleanup. No waterways impacted.
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: Southbound SR 99 just north of Shanks Rd.
b. CITY:c. COUNTY: d. ZIP:
Delhi
Merced CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/02/20221215 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoMerced County Environmental Health
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CALFIRE, CHP, Fire Dept.
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, CHP, Co/WP, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5803 *********

Created by: Warning Center on: 10/02/2022 12:43:02 PM Last Modified by: Warning Center on: 10/02/2022 01:00:03 PM