Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 05/19/2019
TIME: 1937
RECEIVED BY: CONTROL#:
Cal OES - 19-3241
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
7/11 Santee California
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. CO2 =unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: As per caller: while working, an employee noticed a frost buildup on the bottom of a CO2 tank signalling a leak. Employees notified appropriate authorities and a local Fire Hazmat team interrogated the site. The leak was deemed harmless and patrons were permitted to enter the store again.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. KNOWN IMPACTOther
Reason for Other: Store was closed for about 30 minutes while fire department was on scene.
3. a. INCIDENT LOCATION: 10710 Woodside Ave
b. CITY:c. COUNTY: d. ZIP:
Santee
San Diego County92071SAN DIEGO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/18/20191630 Service Station Other
Description for Other : Leak
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept.Co EH - Hazmat
d. ADMIN. AGENCY: San Diego County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
9
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD
Photo Attachment:
********* Control No: 19-3241 *********

Created by: Warning Center on: 05/19/2019 07:37:08 PM Last Modified by: Warning Center on: 05/19/2019 07:44:28 PM