Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/29/2024
    TIME: 2320
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5521
    NRC - 1412304
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
National Response Center (NRC)
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Other
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Sewage=Unknown N/ASEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC #1412304, "Caller discovered a sewage spill that appears to be coming from a hose at the incident location. Caller does not know where the hose is coming from. Caller states this sewage spill occurs usually on during the night time and it has occurred several times." RELEASE SECURED: Unknown AFFECTED MEDIUM: Land/ concrete and asphalt
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: Lilac Avenue & West Casmalia Street
b. CITY:c. COUNTY: d. ZIP:
Rialto
San Bernardino CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/29/20242254 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC
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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5521 *********

Created by: Warning Center on: 09/29/2024 11:20:23 PM Last Modified by: Warning Center on: 09/29/2024 11:31:27 PM