Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/02/2024
    TIME: 0816
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-1959
    NRC - 1395405
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:
USCG Sector San Diego
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Gasoline (Unleaded)=5 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC Report : "Caller is reporting a release of 2-5 gallons of gasoline onto the ground at a gas station. The cause of release was due to operator error. There was no impact to any storm drains / waterway. The report was called into the Coast Guard by the fire department." Remedial Actions : "The fire department responded but 7-11 employees had already cleaned up the spill."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 4210 Beyer Blvd
b. CITY:c. COUNTY: d. ZIP:
San Diego
San Diego County92173SAN DIEGO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/02/20240725 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.NRC
d. ADMIN. AGENCY: San Diego County Health Services Departmente. 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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-1959 *********

Created by: Warning Center on: 04/02/2024 08:16:07 AM Last Modified by: Warning Center on: 04/02/2024 08:23:46 AM