Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/04/2024
    TIME: 1410
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2020
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Chevron
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. Gasoline =4 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party : A Uhaul truck was fueling at location and had a hole in the gas tank resulting in the gasoline leaking onto the concrete surface below the truck and near the fuel pump. The leak has been stopped. Employees on site contained the spill using spill kit, absorbents and booms. No waterways or storm drains affected. The San Francisco Fire Department responded and assisted employees with spill containment. Employees have cleaned portion of the spill and are waiting on a tow truck to remove the Uhaul and then will clean up any remaining gasoline that was underneath the truck.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1100 Junipero Sierra Blvd
b. CITY:c. COUNTY: d. ZIP:
San Francisco
San Francisco County94132BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/04/20241315 Service Station Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: San Francisco County Health Departmente. SEC. AGENCY:
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: 24-2020 *********

Created by: Warning Center on: 04/04/2024 02:10:12 PM Last Modified by: Warning Center on: 04/04/2024 02:19:36 PM