Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/14/2024
    TIME: 1520
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2202
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Safeway Distribution Center Tracy
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. NH3-Ammonia<1 Lbs.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, an engineer detected a smell and conducted an investigation using a meter, leading to the discovery of a release of less than 1 pound of NH3-Ammonia into the atmosphere. The release originated from a valve on compressor number 3. Immediate action was taken to rectify the issue by transferring the line to another valve, effectively resolving the release. No waterways were impacted by the release.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 16900 W Shulte Rd
b. CITY:c. COUNTY: d. ZIP:
Tracy
San Joaquin County95377SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/13/20242130 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2202 *********

Created by: Warning Center on: 04/14/2024 03:20:05 PM Last Modified by: Warning Center on: 04/14/2024 03:36:27 PM