Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 12/14/2024
TIME: 1903
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CONTROL#:
Cal OES - 24-6980
NRC -
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
 | Relabyne |  |  |  |
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 | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL
>= 300 Tons |
1. Super Unleaded Gasoline | = | unknown | Gal(s) | PETROLEUM | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Per the reporting party: A transport truck carrying 2800 gallons of Super Unleaded Gasoline was off loading fuel into a bulk storage tank when one of the tanks seams breached, releasing an unknown amount of fuel into a containment area at a fuel farm. This release has been stopped, contained, and was cleaned up by the RP. No waterways were impacted. |
 |  |  |  |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | | No |
 |  |  |
l. MARITIME VESSEL
|  | m. KNOWN IMPACT
None |  |
 |  |  |  |
3. a. INCIDENT LOCATION: 3371 North State |
b. CITY: | c. COUNTY: | d. ZIP: |  |
 |  |  |  |
Ukiah
| Mendocino County | 95482 | MENDOCINO COUNTY AQMD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
12/14/2024 | 1600 | Service Station | Mechanical |
 |  |  |
 |  |  |  |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment: |  |
11. Cal OES Reg.
********* Control No: 24-6980 *********
Created by: Warning Center on: 12/14/2024 07:03:27 PM Last Modified by: Warning Center on: 12/14/2024 07:20:03 PM