Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/15/2023
    TIME: 1159
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5941
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
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. Grease =150 feet N/AOTHERVegetable OilNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states while exiting his vehicle in a parking lot he noticed a grease strong smell. He visually saw a backup, overflowing French Drain leaking a greasy substance from a local business. It connects to the businesses grease trap.. Trail is roughly 150 feet. It is backed up and running into a storm drain. It is unknown if there is a catch basin. RP contacted local Fire Captain. FD states he will contact business owner. It is not stopped and not contained.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 5684 Baseline Ave
b. CITY:c. COUNTY: d. ZIP:
Rancho Cucamonga
San Bernardino CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/15/20231015 Merchant/Business Overflow
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Department
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5941 *********

Created by: Warning Center on: 09/15/2023 11:59:37 AM Last Modified by: Warning Center on: 09/15/2023 12:28:22 PM