Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/07/2024
    TIME: 1433
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6820
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Walmart
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Walmat
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Ammonia<1 Lbs.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per Reporting Party: Due to a mechanical issue approximately one (1) pound of ammonia was released only into the atmosphere. The release has been stopped, not contained, no waterways impacted, and unrecoverable. There were no injuries, fatalities, and/or evacuations due to this incident.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNoN/ANo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 2701 Driver Rd.
b. CITY:c. COUNTY: d. ZIP:
Shafter
Kern County93263SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/07/20241130 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Kern County Environmental Health Department
d. ADMIN. AGENCY: Kern Co. Environmental Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6820 *********

Created by: Warning Center on: 12/07/2024 02:33:19 PM Last Modified by: Warning Center on: 12/07/2024 02:44:34 PM