Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/11/2024
    TIME: 1334
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2148
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Arctic Glacier Ice
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. Compressor mineral oil=100 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: A 3rd party contractor was doing an oil filter change, they removed the bolts to the incorrect filter housing, causing the gasket to fail, releasing about 100 gallons of oil onto the floor. It flowed out the roll-up door to the pallet area, but did not make it to any drains, or waterways. Absorbent were used to stop it from going to any drains.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 43960 Fremont Blvd
b. CITY:c. COUNTY: d. ZIP:
Fremont
Alameda County94538BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/28/20241000 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CUPA Fire Dept
d. ADMIN. AGENCY: Fremont City Fire Departmente. SEC. AGENCY: Alameda County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2148 *********

Created by: Warning Center on: 04/11/2024 01:34:24 PM Last Modified by: Warning Center on: 04/11/2024 01:49:18 PM