Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/25/2023
    TIME: 2201
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-2207
    NRC - 1363140
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. UNKNOWN MATERIAL/CHEMICAL=UNK UnknownCHEMICAL, VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: THE CALLER STATES UNKNOWN CHEMICALS ARE BEING DISCHARGED FROM THE
SRP'S RESIDENCE.

THE CALLER STATES THIS HAS BEEN OCCURRING FOR ABOUT A MONTH.
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: 33622 VIA MARTOS
b. CITY:c. COUNTY: d. ZIP:
Dana Point
Orange CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/25/20231400 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: Orange County Emergency Management Divisione. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

9
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: 23-2207 *********

Created by: Warning Center on: 03/25/2023 10:01:05 PM Last Modified by: Warning Center on: 03/25/2023 10:03:45 PM