Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/09/2023
    TIME: 0757
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7545
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP - Hayward
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. Transmission Fluid=1 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party there was a vehicle accident causing the release onto the dirt. No storm drains or waterways impacted. There was one party with unknown injuries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Lowelling Blvd Under 880
b. CITY:c. COUNTY: d. ZIP:
San Leandro
Alameda CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/09/20230620 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CHP
d. ADMIN. AGENCY: City of San Leandro Environmental Servicese. 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, CHP
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7545 *********

Created by: Warning Center on: 12/09/2023 07:57:43 AM Last Modified by: Warning Center on: 12/09/2023 08:00:43 AM