Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/04/2024
    TIME: 1355
    RECEIVED BY:
    CONTROL#:
    Cal OES -
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
DELETE
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. DELETE=Unknown Lbs.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: *****DUPLICATE TO 24-6195********
RP stated that a chicken processing plant has a ammonia release from an unknown source and an unknown amount has release into the atmosphere. They are currently Onsite trying to mitigate the release. The plant employees have been evacuated. They did a shelter in place in the surrounding area of a nearby town by K Street, J Street, North Avenue, and Annadale Avenue. The rp has been performing air monitoring throughout the day. The shelter in place has since been lifted due to no readings in the area. The county EH is on scene.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1489 K Street
b. CITY:c. COUNTY: d. ZIP:
Santa Clara
Santa Clara CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/04/20240300 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 200		Unknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept.
d. ADMIN. AGENCY: Santa Clara City Fire Departmente. 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: *********

Created by: Warning Center on: 11/04/2024 01:55:03 PM Last Modified by: Warning Center on: 11/18/2024 04:08:57 PM