Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/16/2023
    TIME: 1325
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5960
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Pacific Gas and Co
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. natural gas=1 Gal(s)OTHERcondensation from natural gas lineNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per caller: unplanned release of condensation from a pipe line due to vehicle hittimg it. It spilled on to the public sidewalk and the wall of the building, fire and police was there at time of incident but no longer on scene. Clean Harbor will be conducting the clean up,no water ways were impacted. condensation
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 4150 Piccadilly Ln
b. CITY:c. COUNTY: d. ZIP:
San Mateo
San Mateo County94403BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/16/20230000 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
San Mateo Environmental
d. ADMIN. AGENCY: San Mateo County Environmental Healthe. 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, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5960 *********

Created by: Warning Center on: 09/16/2023 01:25:38 PM Last Modified by: Warning Center on: 09/16/2023 02:04:17 PM