Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/11/2024
    TIME: 1226
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5772
    NRC - 1413452
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 Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Hydraulic oil =1 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
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
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
3. a. INCIDENT LOCATION: 2600 Spemgler Way
b. CITY:c. COUNTY: d. ZIP:
Turlock
Stanislaus CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/11/20240001 Residence Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Stanislaus County Environmental Resourcese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
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