Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/11/2024
    TIME: 1432
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3964
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Quikrete Northern California LLC
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. Vinnapas 446ND, Material# 60066065=2,000 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting party states that a drain pipe coming out of a storage tank was broken off by a fork-lift, causing the release of the reported substance onto the floor inside their production facility. The release has been stopped and contained. No waterways were impacted. The reporting party conducted the cleanup, and there are no unmet needs.
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: 6950 Stevenson Blvd
b. CITY:c. COUNTY: d. ZIP:
Fremont
Alameda County94538BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/26/20241200 Other
Description for Other : Manufacturing Plant		Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fremont Fire Department
d. ADMIN. AGENCY: Fremont City Fire Departmente. SEC. AGENCY: Alameda County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3964 *********

Created by: Warning Center on: 07/11/2024 02:32:26 PM Last Modified by: Warning Center on: 07/11/2024 02:45:02 PM