Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/25/2022
TIME: 1529
RECEIVED BY: CONTROL#:
Cal OES - 22-6927
NRC - 1353397
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:
USCG- MARINE SAFETY DISTACHTMENT SANTA
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. OIL: DIESEL=UNKNOWN Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC# 1353397, " POTENTIAL DISCHARGE OF DIESEL FUEL FROM A SAILING VESSEL THAT IS
DRIFTING AFTER COMING OFF ANCHOR."

---VESSEL INFORMATION---
Name: LULA Number: UNKNOWN Aground: NO
Flag:
Length: Breadth: Draught:
Type: PLEASURE CRAFT
Hull Construction:
Fuel Capacity:
Fuel on Board: 2 LITER(S)
Cargo Capacity:
Cargo on Board:
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedUnknownPACIFIC OCEAN No
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Latitude: 34 10' 48" N Longitude: 120 03' 30" W
b. CITY:c. COUNTY: d. ZIP:
Ventura
Ventura CountyVENTURA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/24/20221030 Ship/Harbor/Port Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
USCG
d. ADMIN. AGENCY: Ventura City Fire Departmente. SEC. AGENCY: Ventura County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, PARKS & REC, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6927 *********

Created by: Warning Center on: 11/25/2022 03:29:52 PM Last Modified by: Warning Center on: 11/25/2022 03:40:13 PM