Governor's Office Emergency Services |
TIME: 1351 |
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Cal OES - 23-7404 NRC - |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
| Dept. Fish & Wildlife | | | |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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| 2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
| 1. Hydraulic fluid mixed w/ diesel and gasoline | = | Unknown at this time | N/A | PETROLEUM | No | No | |
| 2. | = | No | No | ||||
| 3. | = | No | No |
| g. DESCRIPTION: | Per the reporting party: While conducting an annual inspection at a private property, petroleum products were seen emanating from heavy equipment and motorized vehicles stored on the property. At this time, the release was only onto dirt, but it is unknown if it impacted a nearby unnamed tributary which leads into Little Cow Creek. It is currently unknown of who will be conducting cleanup. | ||
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| h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
| Unknown if stopped, Unknown if contained | Unknown | Unknown | Unknown |
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| l. MARITIME VESSEL | | m. KNOWN IMPACT None | |
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| 3. a. INCIDENT LOCATION: 16320 Du Bois Rd | |||
| b. CITY: | c. COUNTY: | d. ZIP: | |
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| Bella Vista | Shasta County | 96008 | SHASTA COUNTY AQMD |
| 4. INCIDENT DESCRIPTION: | |||
| a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
| 12/01/2023 | 1000 | Road | Other Description for Other : Both Human Error and Mechanical Failure |
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| e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
| No | No | No | Unknown |
| 6. NOTIFICATION INFORMATION: | ||
| a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| d. ADMIN. AGENCY: Bella Vista Water District | | e. SEC. AGENCY: Shasta County Environmental Health |
| f. ADDITIONAL COUNTY: | | g. ADMIN. AGENCY: |
| h. NOTIFICATION LIST: | | |
| Cal GEM: | RWQCB Unit: | 5A |
| Cal OES Region: | | |
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| Photo Attachment: | |