Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/24/2023
    TIME: 1110
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3430
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Wee Inc
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. Anhydrous ammonia =Unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Due to mechanical failure from refrigerant equipment there was a release of an unknown amount of Anhydrous ammonia within the facility. Release has been stopped and isolated. Evacuations were in place due to the release. No further injuries or hazards reported at this time.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1029 Montague Expressway
b. CITY:c. COUNTY: d. ZIP:
Milpitas
Santa Clara CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/24/20230830 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 20		Unrecoverable
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, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3430 *********

Created by: Warning Center on: 05/24/2023 11:10:12 AM Last Modified by: Warning Center on: 05/24/2023 11:18:10 AM