Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/29/2021
TIME: 1810
RECEIVED BY: CONTROL#:
Cal OES - 21-6783
NRC - 1323161
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
National Response Center (NRC)
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Cecos Group
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Oil, hydraulic=3 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC #1323161, "The caller stated that hydraulic oil released from a piece of equipment. Because of this incident the material went into Suisun Bay. The cause of the release was attributed to equipment error. According to the caller 3 gallons of the material released." SHEEN COLOR: Yellowish Brown SHEEN LENGTH: 15 feet SHEEN WIDTH: 15 feet VEHICLE TYPE: Construction (crane) REMEDIAL ACTIONS: The caller stated that they placed booms and absorbents to contain and secure the release RELEASE SECURED: Yes
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesSuisun BayNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 410 Norman Avenue
b. CITY:c. COUNTY: d. ZIP:
Concord
Contra Costa County94520BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/29/20211100 Waterways Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC
d. ADMIN. AGENCY: Contra Costa County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, COASTAL COM, CDPH-D.O., EB PARKS, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-6783 *********

Created by: Warning Center on: 11/29/2021 06:10:54 PM Last Modified by: Warning Center on: 11/29/2021 06:36:13 PM