Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/03/2024
    TIME: 1357
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3182
    NRC - 1400757
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:
VA PALO ALTO
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. BARELY DISCERNIBLE SHEEN=4 FEET X 3 FEET SheenPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC REPORT # 1400757: THE CALLER REPORTED AN UNKNOWN SHEEN FROM AN UNKNOWN SOURCE ON THE MATA DERO CREEK AT THE INCIDENT LOCATION. THE CALLER STATED A CONTRACTOR SPOTTED THE SHEEN WHILE CONDUCTING REPAIRS FOR A PREVIOUS DISCHARGE OF DIESEL FUEL AT THIS LOCATION. THE SOURCE OF THE SHEEN IS UNKNOWN, BUT COULD BE FROM THE PREVIOUS DISCHARGE OF DIESEL FUEL THAT TOOK PLACE ON 03NOV22. THIS HAS NOT BEEN PROVEN. REMEDIAL ACTIONS: MATERIAL IS CONTAINED.

INCIDENT DETAILS

---SHEEN INFORMATION---

Sheen Color: BARELY DISCERNIBLE
Sheen Size Length: 4 FEET
Sheen Size Width: 3 FEET

---WATER INFORMATION---

Body of Water: MATA DERO CREEK
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, ContainedYesMATA DERO CREEKUnknown
l. MARITIME VESSEL
m. KNOWN IMPACT
3. a. INCIDENT LOCATION: 3801 MIRANDA AVE
b. CITY:c. COUNTY: d. ZIP:
Palo Alto
Santa Clara CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/29/20241230 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Santa Clara County Department of 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, DFW-OSPR, COASTAL COM, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3182 *********

Created by: Warning Center on: 06/03/2024 01:57:51 PM Last Modified by: Warning Center on: 06/03/2024 02:21:29 PM