Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 09/23/2022
TIME: 0637
RECEIVED BY: CONTROL#:
Cal OES - 22-5596
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Costa Mesa Fire Department
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=UNK Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Due to a vehicle fire caused by an accident, an unknown amount of gasoline was released onto the soil and entering into the nearby flood control channel. Absorbent pads have been deployed. It is unknown if the gasoline has entered a nearby storm drain. Crew members are attempting to sand bag the nearby storm drains to prevent the gasoline from entering a storm drain.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Unknown if containedYesFlood Control ChannelNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Newport Blvd and E 17th Street
b. CITY:c. COUNTY: d. ZIP:
Costa Mesa
Orange County92627SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/23/20220521 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1
NoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept.
d. ADMIN. AGENCY: Orange County Emergency Management Divisione. 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, CDPH-D.O., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5596 *********

Created by: Warning Center on: 09/23/2022 06:37:02 AM Last Modified by: Warning Center on: 09/23/2022 06:43:11 AM