Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 02/19/2024
TIME: 1614
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CONTROL#:
Cal OES - 24-1043
NRC -
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![](/icons/ecblank.gif) | Clean Harbor Environmental | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![](/icons/ecblank.gif) | | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
2. SUBSTANCE TYPE:
2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL
>= 300 Tons |
1. ADT -2 (Pressure washing Detergent) | < | 250 | Gal(s) | CHEMICAL | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | The caller reports an incident at a Walmart distribution center where a damaged tote resulted in a release of less than 250 gallons of ADT-2 (Pressure Washing Detergent) onto asphalt and a nearby storm drain. Although the release has been stopped, it is not contained, and waterways have been impacted. The contractor is enroute to perform cleanup. |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Not stopped, Not contained | Yes | Storm drain | Unknown |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
l. MARITIME VESSEL
| ![](/icons/ecblank.gif) | m. KNOWN IMPACT
None | ![](/icons/ecblank.gif) |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
3. a. INCIDENT LOCATION: 2701 South Driver Rd |
b. CITY: | c. COUNTY: | d. ZIP: | ![](/icons/ecblank.gif) |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
Shafter
| Kern County | 93263 | SAN JOAQUIN VALLEY UNIFIED APCD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
02/19/2024 | 1350 | Merchant/Business | Unknown |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) | ![](/icons/ecblank.gif) |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Contractor |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DWP-DO, FOOD & AG, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment: | ![](/icons/ecblank.gif) |
11. Cal OES Reg.
********* Control No: 24-1043 *********
Created by: Warning Center on: 02/19/2024 04:14:12 PM Last Modified by: Warning Center on: 02/19/2024 04:27:26 PM