Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 03/26/2021
TIME: 0928
RECEIVED BY: CONTROL#:
Cal OES - 21-1623
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Aera Energy
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. Oil =2 Bbl.(s)PETROLEUMNoNo
2. Water=2 Bbl.(s)OTHERWaterNoNo
3. = NoNo
g. DESCRIPTION: RP states that a steam to surface event caused the release, the exact cause is unknown. No water impacted. The reporting party will conduct cleanup. This release occurred in an oil field.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedNo
m. KNOWN IMPACT
3. a. INCIDENT LOCATION: Lost Hills oil field; Well number: MDE412-13
b. CITY:c. COUNTY: d. ZIP:
Lost Hills
Kern CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/26/20210830 Oil Field Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal GEM; Kern County EH
d. ADMIN. AGENCY: Kern Co. Environmental Health Services Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM: Inland
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Cal GEM, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-1623 *********

Created by: Warning Center on: 03/26/2021 09:28:50 AM Last Modified by: Warning Center on: 03/26/2021 09:36:12 AM