Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 08/21/2019
TIME: 2302
RECEIVED BY: CONTROL#:
Cal OES - 19-5407
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Chevron
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. Crude and produced water=5 Bbl.(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states that less than 5 bbls of crude oil and produced water mixture in Symric oil field at 36W area, due to possible seep. The RP personnel currently investigating at this time.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 36W area, Symric Oil Field
b. CITY:c. COUNTY: d. ZIP:
McKittrick
Kern CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/21/20192200 Oil Field Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Kern Co. Environmental Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit: 3
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DOG, SFM, Co/Hlth, Co/E-Hlth
DOG

Photo Attachment:
11. Cal OES Reg.
********* Control No: 19-5407 *********

Created by: Warning Center on: 08/21/2019 11:02:06 PM Last Modified by: Warning Center on: 08/21/2019 11:24:30 PM