Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/17/2024
    TIME: 1820
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2272
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PMP Management
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. Nitric Acid =Unknown Gal(s)CHEMICALNoNo
2. Chlorine =Unknown Gal(s)CHEMICALNoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a fire in the pool chemical room caused an unknown amount of these two chemicals to release and make impacts into a near by storm drain. Release has been stopped and contained with the fire also being extinguished. No clean up has been coordinated at this time.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm Drain No
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 100 Greenleaf
b. CITY:c. COUNTY: d. ZIP:
Lake Forest(1)
Orange County92630SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/17/20241630 Merchant/Business Other
Description for Other : Fire
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.CUPA
d. ADMIN. AGENCY: Orange County Emergency Management Divisione. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DWP-DO, DPR, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2272 *********

Created by: Warning Center on: 04/17/2024 06:20:41 PM Last Modified by: Warning Center on: 04/17/2024 06:41:54 PM