Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/29/2022
    TIME: 1125
    RECEIVED BY:
    CONTROL#:
    Cal OES - 22-5735
    NRC - 1348610
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
USCG - Sector San Francisco
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. (Potential Release) Unknown Oil=N/A Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: ***Potential Release*** ***Potential Release*** ***Potential Release***

Per NRC: "Caller is reporting a vessel that is sinking in the Pacific Ocean."

Remedial Actions: Making Notification.

Vessel Type: Pleasure Craft

Aground: No

***Potential Release*** ***Potential Release*** ***Potential Release***
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherYesPacific OceanNo
Detail for Other: Potential Release
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Latitude: 36° 57' 22" N / Longitude: 122° 00' 59" W
b. CITY:c. COUNTY: d. ZIP:
Santa Cruz
Santa Cruz CountyMONTEREY BAY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/29/20221030 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Santa Cruz County Environmental Healthe. 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, DFW-OSPR, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5735 *********

Created by: Warning Center on: 09/29/2022 11:25:35 AM Last Modified by: Warning Center on: 09/29/2022 11:57:34 AM