Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/26/2022
TIME: 0500
RECEIVED BY: CONTROL#:
Cal OES - 22-6938
NRC - 1353420
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:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Unk Material=Unk UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: CALLER IS REPORTING A BAD SMELL IN THE AIR AND ATMOSPHERE NEAR THE ADDRESS LOCATION. THE CALLER STATED THAT THE SMELL IS MAKING HIS FAMILY SICK. THE CALLER WAS EXTREMELY FRUSTRATED BECAUSE NOBODY WILL HELP THEM. THE CALLER STATED THAT IF SOMETHING IS NOT DONE ABOUT THIS SITUATION THEN THEY WILL TAKE MATTERS INTO THEIR OWN HANDS TO HANDLE THE SITUATION.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stoppedNoNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 220 MAR VISTA DRIVE, SPACE 69
b. CITY:c. COUNTY: d. ZIP:
Aptos
Santa Cruz CountyMONTEREY BAY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/25/20220430 Residence 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: Santa Cruz County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6938 *********

Created by: Warning Center on: 11/26/2022 05:00:58 AM Last Modified by: Warning Center on: 11/26/2022 05:04:13 AM