Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/30/2024
    TIME: 1347
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7244
    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. Diesel =1 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party: The fuel hose connected to fuel pump disconnected due to a mechanical error causing the release of material impacting the concrete surrounding the fuel pump; no drains or waterways were affected. The release was stopped. Employees on site utilized a spill kit with absorbent material to clean the spill.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 805 Birmingham Drive
b. CITY:c. COUNTY: d. ZIP:
Cardiff
San Diego County92007SAN DIEGO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/29/20242212 Service Station Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Diego County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: Santa Barbara County g. ADMIN. AGENCY: Santa Barbara County Fire Department
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

9
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, PARKS & REC, UCSB, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-7244 *********

Created by: Warning Center on: 12/30/2024 01:47:14 PM Last Modified by: Warning Center on: 01/01/2025 01:42:29 PM