Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 05/16/2019
TIME: 0720
RECEIVED BY: CONTROL#:
Cal OES -
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
California Resources
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. Oil=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the caller the caller oil from an unknown source has gone from the street and into the tidal lands. Per the caller it is unknown if the release is stopped or contained. Per the caller it is unknown if drinking water is impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesTidal LandsUnknown
l. KNOWN IMPACTUnknown
3. a. INCIDENT LOCATION: Rattle Snake Road
b. CITY:c. COUNTY: d. ZIP:
Huntington Beach
Orange CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/16/20190700 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Huntington Beach Fire Departmente. SEC. AGENCY: Orange County Emergency Management Division
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
8
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
********* Control No: *********

Created by: Warning Center on: 05/16/2019 07:20:16 AM Last Modified by: Warning Center on: 05/16/2019 07:23:29 AM