Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/22/2024
    TIME: 1024
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-1111
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Dewey Pest Control
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 Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. raw chicken mixed with raw red meat=6 Lbs.OTHERFoodNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: A third party contractor was performing an interior pest control service and observed raw chicken mixed with raw red meat defrosting in a sink. No water ways impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stoppedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 27388 Sun City Blvd Suite A
b. CITY:c. COUNTY: d. ZIP:
Menifee
Riverside County92586SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/22/20241000 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-1111 *********

Created by: Warning Center on: 02/22/2024 10:24:11 AM Last Modified by: Warning Center on: 02/22/2024 10:37:45 AM