Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 09/25/2021
TIME: 0910
RECEIVED BY: CONTROL#:
Cal OES - 21-5270
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Kemira Water Solution
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. Ferric Chloride=276 Lbs.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: The flange on transfer hose malfunctioned causing ferric chloride to spill into secondary containment, no waterways were impacted. Kemira Water Solution employees have completed clean up of the spill.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 18700 CA-14
b. CITY:c. COUNTY: d. ZIP:
Mojave
Kern County93501KERN COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/01/20210845 Industrial Plant Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Kern Co. Environmental Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-5270 *********

Created by: Warning Center on: 09/25/2021 09:10:52 AM Last Modified by: Warning Center on: 09/25/2021 09:23:58 AM