Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 06/13/2024
TIME: 1023
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CONTROL#:
Cal OES - 24-3385
NRC -
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
 | Lathrop Manteca Fire District |  |  |  |
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. Reflex " Sanitizer " | = | 55 | Gal(s) | CHEMICAL | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Per the reporting party: Employees were moving a 55 gallon drum of Reflex "Sanitizer" which tipped over and spilled onto concrete and ran into an on site self contained storm drain at their loading dock area. This release has been stopped and contained and no outside waterways were impacted. Lathrop Manteca Fire District and local PD are on scene awaiting a contractor to perform the clean-up. |
 |  |  |  |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | Yes | Self Contained Storm Drain | No |
 |  |  |
l. MARITIME VESSEL
|  | m. KNOWN IMPACT
None |  |
 |  |  |  |
3. a. INCIDENT LOCATION: 1250 Lathrop Road |
b. CITY: | c. COUNTY: | d. ZIP: |  |
 |  |  |  |
Lathrop
| San Joaquin County | 95330 | SAN JOAQUIN VALLEY UNIFIED APCD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
06/13/2024 | 1000 | Merchant/Business | Human Error |
 |  |  |
 |  |  |  |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Contractor |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
Fire Dept., Police Dept. | | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment: |  |
11. Cal OES Reg.
********* Control No: 24-3385 *********
Created by: Warning Center on: 06/13/2024 10:23:41 AM Last Modified by: Warning Center on: 06/13/2024 10:46:50 AM