Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 09/25/2023
TIME: 0809
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CONTROL#:
Cal OES - 23-6129
NRC -
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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. Gasoline | = | 64 | Oz. | PETROLEUM | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Caller states a customer had a gas tank puncture due to unknown reasons causing a release of 64 oz of gasoline to release onto the concrete surface. Release is stopped and contained with no waterways impacted. Service station personnel conducted cleanup of released material. |
 |  |  |  |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | | No |
 |  |  |
l. MARITIME VESSEL
|  | m. KNOWN IMPACT
None |  |
 |  |  |  |
3. a. INCIDENT LOCATION: 1802 Wester St |
b. CITY: | c. COUNTY: | d. ZIP: |  |
 |  |  |  |
Alameda
| Alameda County | 94501 | BAY AREA AQMD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
09/24/2023 | 1620 | Service Station | Human Error |
 |  |  |
 |  |  |  |
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: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment: |  |
11. Cal OES Reg.
********* Control No: 23-6129 *********
Created by: Warning Center on: 09/25/2023 08:09:23 AM Last Modified by: Warning Center on: 09/25/2023 08:14:45 AM