Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/21/2024
    TIME: 1812
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5972
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Circle K - Convenience store company
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. Fuel, Gasoline<80 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: During its route, a delivery truck hit road debris, causing damage to its fuel tank. This resulted in the release of less than 80 gallons of gasoline onto the asphalt parking lot of the listed business. The driver and on-site staff isolated the area and carried out a cleanup without any issues. Contaminated materials were secured in secondary containment for appropriate disposal. The incident did not disrupt store operations.
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: 705 Loma Santa Fe Drive
b. CITY:c. COUNTY: d. ZIP:
Solana Beach
San Diego County92075SAN DIEGO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/21/20241600 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: San Diego County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

9
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: 24-5972 *********

Created by: Warning Center on: 10/21/2024 06:12:29 PM Last Modified by: Warning Center on: 10/21/2024 06:54:21 PM