Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/15/2023
    TIME: 2055
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5949
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
EEE
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. CO2=1,600 Cu.Ft.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP stated that due a crack in an unknown line and unknown size, all CO2 was released from a refrigeration system. The substance was released into the air. No evacuations, no fires, or injuries reported.
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: 4805 Bechelli Lane
b. CITY:c. COUNTY: d. ZIP:
Redding
Shasta County96002SHASTA COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/15/20231730 Merchant/Business Broken Pipe
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Shasta County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5949 *********

Created by: Warning Center on: 09/15/2023 08:55:01 PM Last Modified by: Warning Center on: 09/15/2023 09:05:43 PM