Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/17/2024
    TIME: 0717
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4077
    NRC - 1405039
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:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. AUTOMOTIVE (UNLEADED)=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: "CALLER STATED AN INDIVIDUAL IS SPRAYING DOWN THE GROUND AT A GAS STATION AND WASHING ALL THE OILS AND CHEMICALS INTO A STORM DRAIN. THE DRAIN GOES TO THE SANTA ANA RIVER BED. CALLER IS CONCERNED ABOUT THE RELEASE TO THE WATER.
REMEDIAL ACTIONS:
NOTIFIED THE EPA"
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesStorm Drain / SANTA ANA RIVERUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 27727 BASE LINE, CONVENIENCE STORE & GAS STATION
b. CITY:c. COUNTY: d. ZIP:
Highland
San Bernardino County92346SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/17/20240630 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
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, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4077 *********

Created by: Warning Center on: 07/17/2024 07:17:55 AM Last Modified by: Warning Center on: 07/17/2024 07:31:12 AM