Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/23/2024
    TIME: 1306
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2954
    NRC - 1399798
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Ethylene Glycol=Unknown UnknownCHEMICALNoNo
2. Oil=Unknown UnknownPETROLEUMNoNo
3. = NoNo
g. DESCRIPTION: Per NRC Report, "Caller is reporting a release of motor oil and anti-freeze (approx.3 gallons) on the ground. The release was from an abandon vehicle that was parked on the street. The vehicle was at this location for over a year. The leak occurred over a 4 week period."
---MOBILE INFORMATION---Vehicle Type: PASSENGER TRUCK.
---REMEDIAL ACTIONS---FILED 4 ONLINE REPORTS, CALLED 911.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: Burt St and Cedar Creek/ Corner House
b. CITY:c. COUNTY: d. ZIP:
Santa Rosa
Sonoma County95404BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/23/20241242 Residence Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Santa Rosa Fire Departmente. SEC. AGENCY: Sonoma County Fire Services Department
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

1
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2954 *********

Created by: Warning Center on: 05/23/2024 01:06:22 PM Last Modified by: Warning Center on: 05/23/2024 01:12:41 PM