Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/09/2024
    TIME: 1902
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2112
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Riverside Fire Department
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. Fuel, Gasoline=3 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: An accident occurred between a passenger vehicle and a pickup truck at the listed location. The local fire department was dispatched to the scene. The collision caused a spill of gasoline onto both the road and its dirt shoulder. As a result, a lane closure was imposed during the investigation process. All three individuals involved in the vehicles sustained only minor injuries and were transported to a nearby medical facility for treatment. Fire personnel managed the cleanup operation.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Other		Reason for Other: Road lane closure
3. a. INCIDENT LOCATION: Victoria Avenue & Grace Street
b. CITY:c. COUNTY: d. ZIP:
Riverside
Riverside County92504SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/09/20241620 Residence Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 3		NoNoFire Dept.
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
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/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2112 *********

Created by: Warning Center on: 04/09/2024 07:02:48 PM Last Modified by: Warning Center on: 04/09/2024 07:21:57 PM