Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/08/2024
    TIME: 1001
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4473
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Stantec 7-11
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. Gasoline=17 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a gas pump nozzle detached completely for unknown reasons, releasing 17 gallons of gasoline onto the concrete and onto a customer. Initially, it was believed that the gasoline had entered the storm drain, but upon inspection by the contractor, it was found that the release did not reach the storm drain due to leaves covering it. The storm drain was still cleaned as a precautionary measure. Maintenance from 7-Eleven will conduct the necessary repairs.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 808 N Mountain Ave
b. CITY:c. COUNTY: d. ZIP:
Ontario
San Bernardino County91762SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/07/20241159 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4473 *********

Created by: Warning Center on: 08/08/2024 10:01:43 AM Last Modified by: Warning Center on: 08/08/2024 10:14:47 AM