Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/12/2024
    TIME: 1303
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6371
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Chevron
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=5 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party, a customer was in the process of fueling their vehicle when it was discovered that there was a hole in the fuel tank, resulting in an approximate release of five (5) gallons of gasoline onto the concrete surface. No waterways were affected by the release. The release has been stopped and contained. The reporting party took immediate action to manage the cleanup, utilizing absorbent materials such as kitty litter and absorbent pads. The contaminated materials were properly collected and disposed of in a 45-gallon barrel.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNon/aNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 401 Napa Junction Rd,
b. CITY:c. COUNTY: d. ZIP:
American Canyon
Napa County94503BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/11/20241509 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:
d. ADMIN. AGENCY: Napa County Department Environmental Managemente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
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: 24-6371 *********

Created by: Warning Center on: 11/12/2024 01:03:49 PM Last Modified by: Warning Center on: 11/12/2024 01:17:31 PM