Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/21/2024
    TIME: 1426
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-1097
    NRC - 1392080
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
ALBERTSONS
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. ANHYDROUS AMMONIA=Unknown Lbs.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC Report: ANHYDROUS AMMONIA RELEASED FROM A REFRIGERATION SYSTEM DUE TO A CRACK IN THE NIPPLE.

REMEDIAL ACTIONS: TECHS ARE ONSITE PUMPING THE SYSTEM DOWN SO REPAIRS CAN BE MADE. INVESTIGATION IS UNDERWAY.

ADDITIONAL INFORMATION: UNKNOWN RATE OF RELEASE.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 2000 ADAMS AVE
b. CITY:c. COUNTY: d. ZIP:
San Leandro
Alameda CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/21/20241400 Industrial Plant Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: City of San Leandro Environmental Servicese. SEC. AGENCY: Alameda County Environmental Health
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: 24-1097 *********

Created by: Warning Center on: 02/21/2024 02:26:58 PM Last Modified by: Warning Center on: 02/21/2024 05:03:03 PM