Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/03/2024
    TIME: 1701
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6740
    NRC - 1417906
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. GASOLINE: AUTOMOTIVE (UNLEADED)=3 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC Report, THE CALLER STATED THAT A PUMP FAILED AT A GAS STATION , WHICH RELEASED AN UNKNOWN AMOUNT OF GASOLINE ONTO THE GROUND AT THE LOCATION. ALTHOUGH THE AMOUNT THAT RELEASED IS UNKNOWN THE CALLER SUSPECTS UPWARDS OF (3) GALLONS MAY HAVE RELEASED.

REMEDIAL ACTIONS: THE CALLER STATED THAT THE RELEASE HAS BEEN SECURED, HOWEVER NO OTHER ACTIONS HAVE BEEN TAKEN.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 905 W EL CAMINO REAL
b. CITY:c. COUNTY: d. ZIP:
Sunnyvale
Santa Clara County94087
BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/03/20241650 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Sunnyvale Department of Public Safetye. SEC. AGENCY: Santa Clara County Department of Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6740 *********

Created by: Warning Center on: 12/03/2024 05:01:16 PM Last Modified by: Warning Center on: 12/03/2024 05:04:31 PM