Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 12/02/2022
TIME: 0109		RECEIVED BY: CONTROL#:
Cal OES - 22-7061
NRC - 1353938
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CALTRAIN
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. TRAIN VS VEHICLE=1 N/ARAILROADNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC# 1353938, "CALLER REPORTED TWO TRAINS STRUCK A VEHICLE ON THE TRACKS RESULTING
IN A FATALITY TO THE INDIVIDUAL INSIDE OF THE VEHICLE."

---RAILROAD INFORMATION---
Railroad Involved: CALTRAIN
Train Number: 509
Train Type: PASSENGER Train Direction:
Train Speed: Track Speed:
Locomotives: Cars: Derailed:
Suspected DOT Regulation Non Compliance: UNKNOWN
DERAILED CARS:
Pos. Carnumber Type Cargo
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherNo
Detail for Other: TRAIN VS VEHICLE
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: MP 15.1 PENNINSULA SUBDIVISION
b. CITY:c. COUNTY: d. ZIP:
Burlingame
San Mateo CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/01/20221338 Rail Road Unknown
R/R Crossing less than 50 feet from incident site? Unknown
UPRR RIM#:
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1		NoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC
d. ADMIN. AGENCY: San Mateo County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, PUC, Co/WP
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-7061 *********

Created by: Warning Center on: 12/02/2022 01:09:00 AM Last Modified by: Warning Center on: 12/02/2022 01:16:09 AM