Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 01/24/2023
    TIME: 009
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0704
    NRC - 1358391
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
San Mateo County Harbor Dist.
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Gasoline (Unleaded)=5 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: CALLER IS REPORTING A SUNKEN VESSEL AT THE DOCK OF A MARINA DUE TO UNKNOWN CAUSES. THERE IS A RELEASE OF FUEL IN THE WATER. NO INJURIES WERE REPORTED.

BOOMS WERE PLACED AROUND THE VESSEL FOR CONTAINMENT, ABSORBENT PADS WERE USED TO PICK UP THE VISIBLE OIL IN THE WATER
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
ContainedYesSAN FRANCISCO BAYNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 95 HARBOR MASTER RD NUMBER
b. CITY:c. COUNTY: d. ZIP:
South San Francisco
San Mateo CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/23/20232200 Ship/Harbor/Port Unknown
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 Mateo County Environmental Healthe. 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, DFW-OSPR, COASTAL COM, CDPH-D.O., LANDS, PARKS & REC, USCG, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0704 *********

Created by: Warning Center on: 01/24/2023 12:09:00 AM Last Modified by: Warning Center on: 01/24/2023 12:13:31 AM