Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 03/02/2021
TIME: 2238
RECEIVED BY: CONTROL#:
Cal OES - 21-1147
NRC - 1299458
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
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. Unknown=Unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC-CALLER IS REPORTING PUDDLES OF UNKNOWN MATERIAL IN THE ROADWAY FROM AN UNKNOWN SOURCE. CALLER STATED THERE WAS A STRONG SMELL OF AMMONIA IN THE AIR THAT CAUSED THROAT IRRITATION AND HEADACHES FROM THE MATERIAL IN THE ROADWAY.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoNo
l. KNOWN IMPACTNone
3. a. INCIDENT LOCATION: Between East and Cherry on Rose Street
b. CITY:c. COUNTY: d. ZIP:
Fresno
Fresno CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/02/20212130 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Fresno County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
i. Cal GEM:
j. RWQCB Unit:

5C
k. Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-1147 *********

Created by: Warning Center on: 03/02/2021 10:38:29 PM Last Modified by: Warning Center on: 03/02/2021 10:46:54 PM