Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/13/2024
    TIME: 1550
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-0930
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Atlas Properties
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. Gasoline=5 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per Reporting Party: A truck was parked in a handicap parking spot with a five (5) gallon gas can in the bed. When the truck moved the can tipped over releasing five (5) gallons of fuel onto the asphalt in the parking lot. The fire department was called out and secured the spill. A contractor will be contacted to perform the clean up. No water ways were impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
Other		Reason for Other: Caution Taped and Coned Off
3. a. INCIDENT LOCATION: 2995 Van Buren Blvd
b. CITY:c. COUNTY: d. ZIP:
Riverside
Riverside County92503SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/13/20241215 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: City of Riverside Fire Marshale. SEC. AGENCY: Riverside County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-0930 *********

Created by: Warning Center on: 02/13/2024 03:50:54 PM Last Modified by: Warning Center on: 02/13/2024 04:10:42 PM