Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/20/2023
    TIME: 0012
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7192
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP- Orange County Communications Center
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
CHP - Santa Ana Office
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Gasoline<15 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per Reporting Party, Due to a vehicle collision approximately fifteen (15) gallons of gasoline was released and only went onto dirt. The release was stopped, contained with sand, no waterways impacted, and will be cleaned up by CalTrans in the morning.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Southbound SR-55 North of 17th St. (Longitude: 33.762483, Latitude: -117.831202)
b. CITY:c. COUNTY: d. ZIP:
Tustin
Orange County92780SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/19/20232156 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCalTrans
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHP, Fire Dept.
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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7192 *********

Created by: Warning Center on: 11/20/2023 12:12:19 AM Last Modified by: Warning Center on: 11/20/2023 12:24:36 AM