Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 02/11/2024
TIME: 1504
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CONTROL#:
Cal OES - 24-0877
NRC -
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
 | Chevron |  |  |  |
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. Gasoline | = | 20 | Oz. | PETROLEUM | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Per reporting party: "Due to human error, 20 ounces of gasoline spilled onto the cement pad. The release has been stopped and contained. No waterways were impacted. The release was cleaned up by station attendant." |
 |  |  |  |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | NA | No |
 |  |  |
l. MARITIME VESSEL
|  | m. KNOWN IMPACT
None |  |
 |  |  |  |
3. a. INCIDENT LOCATION: 1950 W. Imperial Hwy |
b. CITY: | c. COUNTY: | d. ZIP: |  |
 |  |  |  |
La Habra
| Orange County | 90631 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
02/11/2024 | 0900 | Service Station | Human Error |
 |  |  |
 |  |  |  |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment: |  |
11. Cal OES Reg.
********* Control No: 24-0877 *********
Created by: Warning Center on: 02/11/2024 03:04:42 PM Last Modified by: Warning Center on: 02/11/2024 03:15:37 PM