Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/02/2024
    TIME: 1357
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4958
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
San Bernardio Fire Hazmat
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. Gasoline=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: During take off, the plane (N66948), released about 20 gallons of gasoline preventing the airplane from taking off. The release was onto the dirt area, no waterway were impacted. There was 2 people on the airplane but no injuries.

h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Lat 34.55, Long -115.733
b. CITY:c. COUNTY: d. ZIP:
Amboy
San Bernardino CountyMOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/02/20241340 Airport Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.Sherrif, CHP and Fish and Wild
d. ADMIN. AGENCY: e. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

7
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CDPH-D.O., Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4958 *********

Created by: Warning Center on: 09/02/2024 01:57:49 PM Last Modified by: Warning Center on: 09/02/2024 02:22:14 PM