Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/06/2024
    TIME: 2124
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5047
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
California Highway Patrol (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. Diesel=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party, a traffic collision between a tractor-trailer and another vehicle caused a spill from the fuel tanks of the truck. Fifteen gallons of the spill impacted the asphalt on the roadway. And five gallons of the spill impacted the dirt shoulder. No waterways were impacted. Cal Trans is on the scene, and they will be performing clean-up. One lane of traffic is closed. There was one individual injured with only minor injuries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: State Route 4 and Jack Tone Road
b. CITY:c. COUNTY: d. ZIP:
Stockton
San Joaquin County95215SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/06/20241923 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHP
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CALTRANS, CHP, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5047 *********

Created by: Warning Center on: 09/06/2024 09:24:32 PM Last Modified by: Warning Center on: 09/06/2024 09:42:24 PM