Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/09/2024
    TIME: 1211
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4497
    NRC - 1407421
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. Diesel=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC report: Caller reports an unknown amount of diesel has been discharged to concrete, as well as damaging person property (vehicles), and storm drains when it rains. The material is coming from the nozzle and
hose connection. The cause of the discharge may be due to faulty or poorly connected equipment. Caller states they have reported the issues with the pumps many times, maybe 4-5 times, to the gas station staff but nothing has gotten done. The material is just left to stand no absorbants are used.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stoppedYesStorm drainNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 525 W. A Street
b. CITY:c. COUNTY: d. ZIP:
Hayward
Alameda County94541BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/09/20241150 Merchant/Business
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Hayward Fire Departmente. SEC. AGENCY: Alameda County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4497 *********

Created by: Warning Center on: 08/09/2024 12:11:03 PM Last Modified by: Warning Center on: 08/09/2024 12:35:52 PM