Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/08/2024
    TIME: 0907
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6295
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Merced Fire
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. Ammonia Refrigerant=1 Gal(s)CHEMICAL, VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: At 0447 hours a small amount of ammonia refrigeration released in a compressor room. The sensors alerted of the release and systems were turned off immediately. Less than 100 employees were evacuated from the building. The release was controlled at 0900 hours and employees have been cleared to return.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo No
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3876 East Childs Ave
b. CITY:c. COUNTY: d. ZIP:
Merced
Merced County95340SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/08/20240447-0900 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 100		N/A
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Merced County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, CDPH-D.O., Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6295 *********

Created by: Warning Center on: 11/08/2024 09:07:03 AM Last Modified by: Warning Center on: 11/08/2024 09:21:21 AM