Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/02/2021
TIME: 0917
RECEIVED BY: CONTROL#:
Cal OES - 21-5447
NRC - 1318462
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PRIVATE CITIZEN
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. UNKNOWN OIL =34 FT L X 9 FT W SheenPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC REPORT, " CALLER STATES THAT THEY DISCOVERED AN UNKNOWN SHEEN FROM AN UNKNOWN
SOURCE ON THE PACIFIC OCEAN."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Not containedYesPACIFIC OCEAN
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: LAT 33.31.44 N LONG 18.01.17 W // ON THE PACIFIC OCEAN HEADED TOWARD LAGUNA BEACH
b. CITY:c. COUNTY: d. ZIP:
Newport Beach
Orange CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/02/20210900 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Newport Beach Fire Departmente. SEC. AGENCY: Orange County Emergency Management Division
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM: Southern
RWQCB Unit:

8
Cal OES Region: Southern
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, CSWC Managers, LANDS, EDO, FDC, Cal OES REG, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. karla.benedicto@caloes.ca.gov
********* Control No: 21-5447 *********

Created by: Warning Center on: 10/02/2021 09:17:21 AM Last Modified by: Warning Center on: 10/02/2021 11:26:26 AM