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Home My WebLink AboutHazardous Waste Insident Report State of California—Transportation Agency EDMUND G.BROWN Jr.,Governor DEPARTMENT OF CALIFORNIA HIGHWAY PATROL Mirri:COUN'yy 995 Fir Street ADMfNi,�TR/yj'tON Chico,CA 95928 530-879-1999 NOV 10 2016 (800)735-2929(TT/TDD) (800)735-2922 (Voice) September 30, 2016 File No.: 241.14768.15521 Board of Supervisors County of Butte 25 County Center Drive Oroville, CA 95965 Dear County Board of Supervisors: The enclosed report is submitted pursuant to Health and Safety Code Section 25180.7 (Proposition 65). The report documents information regarding the illegal discharge (or threatened illegal discharge) of hazardous waste, which could cause substantial injury to the public health or safety. The report is being submitted on behalf of all designated employees of the Department of California Highway Patrol. Sincerely, J. RICE., 'Captain Commander Chico Area 0111W N S fe ce, a 7 Servi and Security A it Internationally Accredited Agency STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL HAZARDOUS MATERIALS INCIDENT REPORT OESCONTROLNUMBER COLLISION REPORT CHP 407E(Rev.3-'f 5)OPI 062 Refer to HPM 84.2,Chapter 2 16-5986 ❑Yes NUMBER N No HAZNIAT CASUALTIES NO.EXPOSEDI N0. NO. CITY JUDICIAL DISTRICT PHOTOGRAPHS BY Z NONE DECONNED INJURED KILLED Unineorporated Butte Municpal AGENCY PERSONNEL 0 0 0 COUNTY NCIC HAZMAT PLACARDS DISPLAYED OTHERS 0 0 0 Butte 9241 ❑Yes N No INCIDENT DATE(MMIDDIYYYY) INCIDENT TIME TIME CALTRANSICOUNTY ROADS NOTIFIED TIME O.E.S.NOTIFIED STATE HIGHWAY RELATED 09/30/2016 0730 HOURS 0827 HOURS 0831 HOURS ®Yes ❑No INCIDENT OCCURRED ON ❑AT INTERSECTION WITH State Route 149 State Route 99 Southbound ®OR South of MILEPOST INFORMATION GPS COORDINATES 0.20 miles South of 99 BUT 821.82 LATITUDE 39.616676 LONGITUDE-121.692346' NAME(FIRST,MIDDLE,LAST) DRIVER'S LICENSE NUMBER I STATE VEH.YEAR MAKE LICENSE NUMBER STATE Marco Cesar Corona C6400643 CA 2006 Peterbuilt WP88534 CA STREETADDRESS VEH.YEAR MAKE LICENSE NUMBER STATE 49I5 Woodson Ave. 2007 Wabash 4MB6775 CA CITYISTATEIZIP CODE VEH.YEAR MAKE LICENSE NUMBER STATE Coining,CA 96021 HOME PHONE BUSINESS PHONE CARRIER NAME None 1(530)321-7189 Corona Trucking HAZMAT IDENTIFICATION SOURCES(CHECK ALL THATAPPLY) REGISTERED OWNER ®SAME AS DRIVER ❑On-site fire services ❑Chemtrec ® Private info source ❑Poison Control Center OWNER'S ADDRESS ®SAME AS DRIVER ❑Off-site fire services ❑Safety Data Sheet ❑On-site non-fire services ❑Placards/Signs VEHICLE IDENTIFICATION NUMBER ❑Off-site non-fire services ❑Shipping papers ❑Computer software ❑Emergency Response Guidebook lXP7.DB9X26D641424 Chemist VEHICLE TYPE CA NUMBER DOT NUMBER ❑ N No reference material used ❑Other 3 l 32 429531 2319556 CHEMICALIFRADE NAME UN DOT HAZARD QUANTITY RELEASED EXTENT OF RELEASE PHYSICAL PHYSICAL STATE NUMBER CLASS (LBS.,GAL.,E71C.) STATE STORED RELEASED Diesel Fluid 1202 2.1 10-20 Galfons Outside vehicle Liquid Liquid CONTAINER TYPE CONTAINER CAPACITY(LBS.,GAL.,ETC.) CONTAINER MATERIAL LEVEL OF CONTAINER Vehicular fuel tank 100 Gallons Aluminum/Aluminum alloysAbove ground CHEMICALITRADE NAME UN DOT HAZARD QUANTITY RELEASED EXTENT OF RELEASE PHYSICAL PHYSICAL STATE NUMBER CLASS (LBS.,GAL.,ETC.) STATE STORED RELEASED CONTAINER TYPE CONTAINER CAPACITY(LBS.,GAL.,ETC.) CONTAINER MATERIAL LEVEL OF CONTAINER PROPERTY USE SURROUNDING AREA PROPERTY MANAGEMENT State Highway Open land State RELEASE FACTORS EQUIPMENT TYPE INVOLVED HAZMAT CONFIRMED Other(explain in Comments) Vehicle fuel system ®Yes ❑No CITATION ISSUED OR COMPLAINT TO BE FILED PRIMARY CAUSE OF INCIDENT OTHER HAZARDOUS MATERIALS VIOLATIONS(NON-CAUSATIVE) ❑Yes N No ❑Not determined ❑Violation ❑Yes ®No ❑Other Code violation DID WEATHER CONTRIBUTE TO CAUSE OR SEVERITY OF INCIDENT? ®Other cause Driver Error ❑Yes N No WEATHER Clear ELEMENTS(OUTLINE THE FOLLOWING ONA CHP 556. INCLUDE ADDITIONAL INFORMATIONAS NECESSARY) N Sequence of events ®Evacuation details N Cleanup actions ® CHP On-scene Personnel(name,rank, ID Road closures number,function, exposure, hours) I]C N Environmental impact ]Actions of other agencies COMPLETE THE FOLLOWING ® Incident Action Plan N Site Safety Plan N Proposition 65 Letters: County Health/County Board of Supervisors DATE AND TIME SCENE DECLARED SAFE BY WHOM(NAME,TITLE AND AGENCY) 09/30/2016 1015 H( D. Canalia,Seraeant,California Highway Patrol PREPARER'S NAME,RANK,AND IO NUMBER DATE REVIEWER'S NAME,RANK,AND 10 NUMBER DATE Dan Canal ia, Sergeant, 14763 09/30/2016 I A t LEE C A-P TA f,.s IS-SZ( i o - S- ZO t tp Destroy Previous Editions An Internationally Accredited Agency Chp407E_051S.P0f STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL HAZARDOUS MATERIALS INCIDENT REPORT OESCONTROLNUMBER COLLISION REPORT CHP 407E(Rev.3-15)OPI 062 Refer to HPM 84.2,Chapter 2 16-5986 ❑Yes NUMBER ®No HAZMAT CASUALTIES NO.EXPOSEDI ONNED NO. NOLLED CITY JUDICIAL DISTRICT PHOTOGRAPHS BY ®NONE Unincorporated Butte Municpal AGENCY PERSONNEL 0 0 0 COUNTY NCIC HAZMAT PLACARDS DISPLAYED OTHERS 0 0 0 Butte 9241 ❑Yes ®No INCIDENT DATE(W&f1DD1YYY10 INCIDENT TIME TIME CALTRANSICOUNTY ROADS NOTIFIED TIME O.E.S.NOTIFIED STATE HIGHWAY RELATED 09/30/2016 0730 HOURS 0827 HOURS 0831 HOURS ®Yes ❑No INCIDENT OCCURRED ON ❑AT INTERSECTION WITH State Route 99 Southbound ®OR South of State Route 149 MILEPOST INFORMATION GPS COORDINATES 0.20 miles South of 99 BUT 821.82 LATITUDE 39.616676° LONGITUDE-121.692346° NAME(FIRST,MIDDLE,LAST) DRIVER`S LICENSE NUMBER STATE VEH.YEAR MAKE LICENSE NUMBER STATE Marco Cesar Corona C6400643 CA 2006 Peterbuilt WP88534 CA STREETAODRESS VEH.YEAR MAKE LICENSE NUMBER STATE 4915 Woodson Ave. 2007 Wabash 4MB6775 CA CITYISTATEIZIP CODE VEH.YEAR MAKE LICENSE NUMBER STATE Corning, CA 96021 HOME PHONE BUSINESS PHONE CARRIER NAME None (530)321-7189 Corona Trucking HAZMAT IDENTIFICATION SOURCES(CHECK ALL THAT APPLY) REGISTERED OWNER ®SAME AS DRIVER ❑ On-site fire services ❑Chemtrec ® Private info source ❑Poison Control Center OWNER'S ADDRESS ®SAME AS DRIVER ❑ Off-site fire services ❑Safety Data Sheet ❑On-site non-fire services ❑Placards/Signs VEHICLE IDENTIFICATION NUMBER ❑Off-site non-fire services ❑Shipping papers Computer software Emergency Response Guidebook 1XP7DB9X26D641424 Chemist VEHICLE TYPE CA NUMBER 60TWUMBER ❑ ®No reference material used ❑Other 31 32 1429531 2319556 CHEMtCALrrRADE NAME UN DOT HAZARD QUANTITY RELEASED EXTENT OF RELEASE PHYSICAL PHYSICAL STATE NUMBER CLASS {LBS.,GAL,ETC.) STATE STORED RELEASED Diesel Fluid 1202 2.1 10-20 Gallons Outside vehicle Liquid Liquid CONTAINER TYPE CONTAINER CAPACITY(LBS.,GAL,ETC.) CONTAINER MATERIAL LEVEL OF CONTAINER Vehicular fuel tank 100 Gallons Aluminum/Aluminum alloys Above ground CHEMICALITRADE NAME rUMSER DOT HAZARD QUANTITY RELEASED EXTENT OF RELEASE PHYSICAL PHYSICAL STATE CLASS (LBS.,GAL,ETC.) STATE STORED RELEASED CONTAINER TYPE CONTAINER CAPACITY(LBS.,GAL.,ETC.) CONTAINER MATERIAL LEVEL OF CONTAINER PROPERTY USE SURROUNDING AREA PROPERTY MANAGEMENT State Highway Open land State RELEASE FACTORS EQUIPMENT TYPE INVOLVED HAZMAT CONFIRMED Other(explain in Comments) Vehicle ftlel system ®Yes ❑No CITATION ISSUED OR COMPLAINT TO BE FILED PRIMARY CAUSE OF INCIDENT OTHER HAZARDOUS MATERIALS VIOLATIONS(NON-CAUSATIVE) ❑Yes ®No ❑Not determined ❑Violation ❑Yes ®No ❑Other Code violation DID WEATHER CONTRIBUTE TO CAUSE OR SEVERITY OF INCIDENT? ®Other cause Driver Error ❑Yes ®No WEATHER Clear ELEMENTS(OUTLINE THE FOLLOWING ON A CNP 556. INCLUDE ADDITIONAL INFORMATION AS NECESSARY) Sequence of events ®Evacuation details ®Cleanup actions ® CHP On-scene Personnel(name,rank, ID ❑C Road closures number, function,exposure,hour's) ®Environmental impact ®Actions of other agencies COMPLETE THE FOLLOWING ® Incident Actson Plan ®Site Safety Plan ®Proposition 65 Letters:County Health/County Board of Supervisors DATE AND TIME SCENE DECLARED SAFE BY WHOM(NAME,TITLE AND AGENCY) 09/30/2016 1015 HOURS D. Canalia,Sergeant,California Highway Patrol PREPARER'S NAME.RANK,AND IO NUMBER DATE REVIEWER'S NAME,RANK,AND;D NUMBER DATE Dan Canalia, Sergeant, 14768 09/30/2016 . (�2 t �,E CA-?i f1 I rJ � 15-S14 Zo t 1.V Destroy Previous Editions An Internationally Accredited Agency Chp407E a515.Ind