Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/17/2024
    TIME: 1656
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3462
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
The Sherman Williams
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. Paint Latex=4 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a customer came in earlier bought about 4 gallons of latex paint, placed in the car and now there is paint scattered all over the middle of the road. This is outside the address provided and runs along the public street down about a quarter of a mile. No waterways are impacted
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
3. a. INCIDENT LOCATION: 1758 West Grand Ave
b. CITY:c. COUNTY: d. ZIP:
Grover Beach
San Luis Obispo County93433SAN LUIS OBISPO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/17/20241530 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Luis Obispo County Public Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3462 *********

Created by: Warning Center on: 06/17/2024 04:56:52 PM Last Modified by: Warning Center on: 06/17/2024 05:13:59 PM