Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/24/2022
    TIME: 1734
    RECEIVED BY:
    CONTROL#:
    Cal OES - 22-5624
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Chevron
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. Gasoline=36 Oz.PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states, A customer overfilled the fuel tank on their vehicle which caused the release of approx 36 ounces of gasoline. The release has been stopped and the reporting party conducted clean up. No waterways or storm drains were impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 2400 Fremont Blvd
b. CITY:c. COUNTY: d. ZIP:
Monterey
Monterey County93940MONTEREY BAY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/24/20221620 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Monterey County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5624 *********

Created by: Warning Center on: 09/24/2022 05:34:01 PM Last Modified by: Warning Center on: 09/24/2022 05:39:07 PM