Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 10/11/2024
TIME: 1226
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CONTROL#:
Cal OES - 24-5772
NRC - 1413452
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
| Superstore Industries | | | |
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 | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL
>= 300 Tons |
1. Hydraulic oil | = | 1 | Gal(s) | PETROLEUM | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Per NRC report: Caller reported that a forklift driving in the truck yard near the warehouse loading dock started leaking hydraulic fluid due to a loose bolt/nut holding one of the lines. Approximately 1 gallon of hydraulic fluid discharged onto concrete, no waterways were impacted. Remedial Action Obtained a spill kit, used absorbents and placed material into 55 gallon drum |
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | No | No |
| | |
l. MARITIME VESSEL
No | | m. KNOWN IMPACT
| |
| | | |
3. a. INCIDENT LOCATION: 2600 Spemgler Way |
b. CITY: | c. COUNTY: | d. ZIP: | |
| | | |
Turlock
| Stanislaus County | | SAN JOAQUIN VALLEY UNIFIED APCD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
10/11/2024 | 0001 | Residence | Mechanical |
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| | | |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment: | |
11. Cal OES Reg.
********* Control No: 24-5772 *********
Created by: Warning Center on: 10/11/2024 12:26:41 PM Last Modified by: Warning Center on: 10/11/2024 12:44:00 PM