Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 09/30/2022
TIME: 1445
RECEIVED BY: CONTROL#:
Cal OES - 22-5771
NRC - 1348723
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PRIVATE CITIZEN
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. MOTOR OIL=UNKNOWN UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC: CALLER IS REPORTING THAT OIL IS LEAKING FROM A WHITE TOYOTA CAR ONTO THE GROUND. THIS IS DUE TO SO TYPE OF MECHICANAL PROBLEM.

REMEDIAL ACTIONS: MAKING NOTIFICATION
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
None
3. a. INCIDENT LOCATION: 19752 LONE STAR LN
b. CITY:c. COUNTY: d. ZIP:
Riverside
Riverside County92508SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/30/20221440 Road Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: City of Riverside Fire Marshale. SEC. AGENCY: Riverside County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5771 *********

Created by: Warning Center on: 09/30/2022 02:45:19 PM Last Modified by: Warning Center on: 09/30/2022 02:49:38 PM