Governor's Office Emergency Services |
TIME: 0835 |
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Cal OES - 24-7220 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | Chevron Retail Station | ![]() | ![]() | ![]() |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Gasoline | = | 3 | Gal(s) | PETROLEUM | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per the Reporting Party: The material released from a fueling hose after removal from customer vehicle gas tank due to an unknown mechanical issue that occurred with the nozzle. The material impacted the concrete around the fuel pump and approximately 1 to 2 gallons entered a nearby storm drain but was collected in a catch basin to prevent further release. Station personnel cleaned up utilizing spill kit and absorbents. A contractor has also been contacted to completed clean up. There were no injuries associated with the release. | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | N/A | No |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 12659 Foothill Blvd | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Rancho Cucamonga | San Bernardino County | 91701 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
12/28/2024 | 1745 | Service Station | Mechanical |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
d. ADMIN. AGENCY: San Bernardino County Fire Department | ![]() | e. SEC. AGENCY: |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 8 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |