Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/25/2024
    TIME: 1245
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4233
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private citizen
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. Water, Potable=Unknown N/AOTHERDrinking waterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The pipeline of a sprinkler system burst, causing water to flood the parking lot of a local business. The caller is requesting the water line be capped/ shut off as soon as possible.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesUnknownYes
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 43396 Florida Avenue
b. CITY:c. COUNTY: d. ZIP:
Hemet
Riverside County92544SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/25/20240900 Merchant/Business Other
Description for Other : Broken water line
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4233 *********

Created by: Warning Center on: 07/25/2024 12:45:20 PM Last Modified by: Warning Center on: 07/25/2024 12:59:24 PM