Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/01/2024
    TIME: 0945
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6694
    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 =2 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party: (2) gallons of automotive gasoline was located spilled next to a fuel pump at a gas station; there was no vehicle nearby at the time the spill was discovered. Employees were alerted to the spill by a customer. It is unknown how the spill occurred. Station personnel utilized absorbent to clean up the spill. No storm drains or waterways were affected.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 14796 La Pas Drive
b. CITY:c. COUNTY: d. ZIP:
Victorville
San Bernardino County92395 MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/01/20240830 Service Station Unknown
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: Victorville Fire Departmente. SEC. AGENCY: San Bernardino County Fire Department
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6694 *********

Created by: Warning Center on: 12/01/2024 09:45:57 AM Last Modified by: Warning Center on: 12/01/2024 09:53:03 AM