Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/21/2023
    TIME: 1304
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6078
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Nviro
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. Industrial Wastewater =1200 Gal(s)OTHERLandfill waste waterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller state due to a truck backing into a valve causing the release of approx less then 1200 gallons of industrial waste water onto a concrete pad, soil, straw wattles and flowing into a concrete drain. The drain leads to on onsite basin that is not accessible to the public and does not impact any bodies of water. The release is stopped and contained. a contractor will be handling the cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm drain No
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 14440 Calle Real
b. CITY:c. COUNTY: d. ZIP:
Gaviota
Santa Barbara County93117SANTA BARBARA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/21/20231030 Other
Description for Other : Landfill		Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Regional Water Quality Control Board
d. ADMIN. AGENCY: Santa Barbara County Environmental Health Servicese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CDPH-D.O., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-6078 *********

Created by: Warning Center on: 09/21/2023 01:04:19 PM Last Modified by: Warning Center on: 09/21/2023 01:25:44 PM