Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/30/2024
    TIME: 1221
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4312
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Leslie's Pool Mart
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. Acid, Muriatic=2 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Two 1-gallon containers of the listed substance were damaged during delivery, causing the contents to spill onto the concrete floor of a business storage room. No exposures occurred and no evacuations were necessary. Trained employees managed the cleanup without incident, and the contaminated materials were placed in appropriate containers for disposal.
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: 5859 Lone Tree Way
b. CITY:c. COUNTY: d. ZIP:
Antioch
Contra Costa County94531BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/29/20241700 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:
None
d. ADMIN. AGENCY: Contra Costa County Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
DTSC, RWQCB, US EPA, USFWS, DPR, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4312 *********

Created by: Warning Center on: 07/30/2024 12:21:55 PM Last Modified by: Warning Center on: 07/30/2024 12:52:38 PM