Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/17/2015
    TIME: 0749
    RECEIVED BY:
    CONTROL#:
    Cal OES - 15-5478
    NRC - 1128712
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Shell Pipeline
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. Petroleum Crude Oil=100 Bbl.(s)PETROLEUMYesNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: Unknown leakage of crude oil from a pipeline. Spill has been contained and investigation is under way. No water impacted from incident, affected medium: Soil. Vac trucks used, excavated soil.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
YesNoNo
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: APPROX 3/8 mi N of West Paterson Rd & 0.25 mi West of I-580. (Quarter N of Tracy Station)
b. CITY:c. COUNTY: d. ZIP:
Tracy
San Joaquin CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/17/20150730 Other
Description for Other : Field		Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit: 6
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DFG-OSPR, DTSC, RWQCB, US EPA, USFWS, DOG, LANDS, SFM
AA/CUPA; DFG-OSPR; DTSC; RWQCB; US EPA; USFWS; DOG; LANDS; SFM
DOG

Photo Attachment:
11. Cal OES Reg.
********* Control No: 15-5478 *********

Created by: Warning Center on: 09/17/2015 07:49:22 AM Last Modified by: Warning Center on: 09/17/2015 08:24:29 AM