Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/23/2024
    TIME: 1658
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4190
    NRC - 1405710
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Georgia Pacific
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. Aquence Halo 408 CB Evolution=1 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party, a hose that was transferring the listed chemical had pin holes in the line, and this caused the release. The chemical went into the Georgia Pacific drain which leads to their watershed which leads to the storm drain system for the City of Modesto. The spill was unrecoverable. There is no clean-up. Georgia Pacific maintenance personnel repaired the damaged line.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesCity of Modesto storm drainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 2400 Lapham Drive
b. CITY:c. COUNTY: d. ZIP:
Modesto
Stanislaus County95354SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/22/20242100 Industrial Plant Other
Description for Other : Damaged hose
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Stanislaus County Environmental Resourcese. 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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4190 *********

Created by: Warning Center on: 07/23/2024 04:58:17 PM Last Modified by: Warning Center on: 07/23/2024 05:19:12 PM