Governor's Office Emergency Services
Hazardous
Materials Spill Report
DATE
:
11/29/2024
TIME:
2005
RECEIVED BY:
CONTROL#
:
Cal OES
-
24-6677
NRC
-
1.a. PERSON NOTIFYING
Cal OES
:
1. NAME:
2. AGENCY:
3. PHONE#:
4. Ext:
5. PAG/CELL:
Recology
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:
