Hazardous Materials Spill Report

Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE

10/03/2019

TIME:

1050

RECEIVED BY:

CONTROL#

Cal OES

19-6386

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*	*Measure*	c. TYPE:	d. OTHER:	e. PIPELINE	f. VESSEL >= 300 Tons
1. Water	=	5.5	Bbl.(s)	OTHER	Water	No	No
2. Crude Oil	=	0.9	Bbl.(s)	PETROLEUM		No	No
3.	=					No	No

g. DESCRIPTION:	RP states: A seep was located at 36W. Clean up is in progress through a contractor. No waterways or storm drains are impacted. Currently this does not meet the reportable quantity threshold, this is a courtesy call.

h. STOPPAGE/CONTAINMENT:	i. WATER INVOLVED:	j. WATERWAY:	k. DRINKING WATER IMPACTED
Stopped	No		No

		m. KNOWN IMPACT None

3. a. INCIDENT LOCATION: 3646 West Reward Road
b. CITY:	c. COUNTY:	d. ZIP:

McKittrick	Kern County	93251	SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:	b. TIME (Military):	c. SITE:	d. REPORTED CAUSE
10/03/2019	0930	Oil Field	Unknown


e. INJURIES	f. FATALITY	g. EVACUATION	h. CLEANUP BY:
No	No	No	Contractor

6. NOTIFICATION INFORMATION:
a. ON SCENE:	b. OTHER ON SCENE:	c. OTHER NOTIFIED:
Other	Dog

d. ADMIN. AGENCY: Kern Co. Environmental Health Services Department		e. SEC. AGENCY:
f. ADDITIONAL COUNTY:		g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit: 3	RWQCB Unit:	5C
Cal OES Region:

AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, DOG, Co/WP, Co/Hlth, Co/E-Hlth
AA/CUPA; DTSC; RWQCB; US EPA; USFWS; DFG-OSPR; DOG; Co/WP; Co/Hlth; Co/E-Hlth
DOG

Photo Attachment:

11. Cal OES Reg.
********* Control No: 19-6386 *********

Created by: Warning Center on: 10/03/2019 10:50:01 AM Last Modified by: Warning Center on: 10/03/2019 11:02:49 AM