Governor's Office Emergency Services |
TIME: 0950 |
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Cal OES - 24-7224 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | Safeway-Solvone | ![]() | ![]() | ![]() |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Fuel | = | 1/2 | Cup(s) | PETROLEUM | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per reporting party: There was a fuel release of about 1/2 cup of fuel that was left in the nozzle, when it was moved. Pads and React spray were used to do the cleanup. Due to the ongoing rain, it is unknown if any fuel made it to the drain | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | Unknown | Storm drain | No |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 1433 Berryessa Rd | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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San Jose | Santa Clara County | 95133 | BAY AREA AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
12/29/2024 | 0908 | Merchant/Business | Mechanical |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
County health |
d. ADMIN. AGENCY: Santa Clara County Department of Environmental Health | ![]() | e. SEC. AGENCY: |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 2 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |