Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/16/2024
    TIME: 1456
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7010
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Gallo Glass
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. CDC Waste (Excluded Recyclable Material)=2500 Lbs.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, at approximately 0915 on 12/16/2024 there was a release of an excluded recyclable material that impacted inside the facility. The release was stopped and contained with no impact to waterways. There was no injures or evacuations to report. Clean up was conducted by the reporting party and was finished at 1400.
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: 605 S Santa Cruz Ave
b. CITY:c. COUNTY: d. ZIP:
Modesto
Stanislaus County95354SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/16/20240915 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
DTSC, CUPA
d. ADMIN. AGENCY: Stanislaus County Environmental Resourcese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
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: 24-7010 *********

Created by: Warning Center on: 12/16/2024 02:56:32 PM Last Modified by: Warning Center on: 12/16/2024 03:12:14 PM