California Emergency Management Agency
Hazardous Materials Spill Report |
DATE: 07/06/2012
TIME: 0844 | RECEIVED BY: | CONTROL#:
Cal EMA - 12-3914
NRC - |
1.a. PERSON NOTIFYING Cal EMA:
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
 | Evergreen Oil | | | |
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 | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL
>= 300 Tons |
| 1. Oil - Dowtherm, Heat transfer type | = | 100-120 | Gal(s) | VAPOR | | No | No |
| 2. | = | | | | | No | No |
| 3. | = | | | | | No | No |
| g. DESCRIPTION: | Possible failure of flange gasket caused release, material is venting directly into the atmosphere, one subject was transported to a medical facility, RP is handling containment and clean up. |
| | | |
| h. CONTAINED: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
| No | No | | |
| l. KNOWN IMPACT | Unknown | |
| | | |
| 3. a. INCIDENT LOCATION: 6880 Smith Ave (Evergreen Oil Inc) |
| b. CITY: | c. COUNTY: | d. ZIP: | |
| | | |
Newark
| Alameda County | 94560 | BAY AREA AQMD |
| 4. INCIDENT DESCRIPTION: |
| a. DATE: | b. TIME (Military): | c. SITE: | d. CAUSE |
| 07/06/2012 | 0832 | Merchant/Business | |
| e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
Yes
Injuries #: 1 | No | No | Reporting Party |
| 6. NOTIFICATION INFORMATION: |
| a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| Fire Dept. | | |
AA/CUPA, DFG-OSPR, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD
********* Control No: 12-3914 *********
Created by: Warning Center on: 07/06/2012 08:44:40 AM Last Modified by: Warning Center on: 07/06/2012 08:51:47 AM