Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 06/23/2022
TIME: 1643
RECEIVED BY: CONTROL#:
Cal OES -
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
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. v=v N/AUNSPECIFIEDNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: bfbfbf
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
l. MARITIME VESSEL
m. KNOWN IMPACT
3. a. INCIDENT LOCATION: bb
b. CITY:c. COUNTY: d. ZIP:
Travis AFB
Solano CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/01/20221 Utilities/Substation
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Solano County Environmental Managemente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
Photo Attachment:
11. Cal OES Reg.
********* Control No: *********

Created by: Warning Center on: 06/23/2022 04:43:11 PM Last Modified by: Warning Center on: 06/29/2022 03:00:02 PM