Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 06/24/2022
TIME: 1044
RECEIVED BY: CONTROL#:
Cal OES - 22-3591
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
US Navy (USS Mobile)
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. Aqueous Film Forming Foam (AFFF [Navy Standard 3%])<1 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting Party States a part came a AFFF pump, resulting in the deck drain going over the side of the ship. No clean-up procedures performed, the spill naturally dissipated.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, OtherYesPier 5 San Diego BayNo
Detail for Other: Naturally Dissipate
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: San Diego Naval Base (Pier 5)
b. CITY:c. COUNTY: d. ZIP:
San Diego
San Diego CountySAN DIEGO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/24/20220845 Waterways Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Navy Base PDO, Navy Environmental
d. ADMIN. AGENCY: San Diego County Health Services Departmente. 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, DFW-OSPR, CDPH-D.O., LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-3591 *********

Created by: Warning Center on: 06/24/2022 10:44:48 AM Last Modified by: Warning Center on: 06/24/2022 10:59:07 AM