Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/02/2024
    TIME: 1854
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3768
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Sac Fire Metro
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. Sulfuric Acid =2 Gal(s)CHEMICAL, VAPORNoNo
2. Isopropyl Alcohol =8 Oz.CHEMICAL, VAPORNoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: An employee was servicing a wet battery when accidentally chose the wrong container and poured the mixture of Sulfuric Acid and Isopropyl Alcohol causing a vapor reaction. It splashed onto employees face and lower lip causing a chemical burn. Medical attention was given on scene and released right away. There was an evacuation of the building but has now been lifted. The roll up door was open and that's how ventilation was accomplished. No waterways were impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 11270 Sanders Dr Suite Dr.
b. CITY:c. COUNTY: d. ZIP:
Rancho Cordova
Sacramento County95670SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/02/20241603 Merchant/Business
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoYes
Evacs #: 4		environmental
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.EMDRancho Cordova City Hazmat
d. ADMIN. AGENCY: Sacramento County Environmental Managemente. 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, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3768 *********

Created by: Warning Center on: 07/02/2024 06:54:11 PM Last Modified by: Warning Center on: 07/02/2024 07:18:01 PM