Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/30/2022
    TIME: 1607
    RECEIVED BY:
    CONTROL#:
    Cal OES - 22-7024
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Kroger Company
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 Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Store Chemical Fire=N/A N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: Do to vandalism a shelf at the store was set on fire causing hazardous fumes to release inside the store, no waterways were impacted. Store employees were able put out the fire. Temecula Fire and the Health Dept are on scene and will cleared the scene once it is deemed safe for the employees and the public to return.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 26419 Ynez Rd (Food4Less)
b. CITY:c. COUNTY: d. ZIP:
Temecula
Riverside County92591SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/30/20221530 Merchant/Business Other
Description for Other : Vandalism
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: Unknown		Unknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept.
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

9
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-7024 *********

Created by: Warning Center on: 11/30/2022 04:07:43 PM Last Modified by: Warning Center on: 11/30/2022 04:23:57 PM