Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/20/2023
    TIME: 1956
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6056
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
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. Asbestos and Chlorine=4 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per RP, Trust for the Public Land is responsible for the land which used to be golf course is leaking asbestos and chlorine into a protected stream affecting wildlife. The impacted waterway is San Geronimo Creek. The pipe has been repaired, but it is still leaking. The hole is next to a drain that drains into the creek.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesSan Geronimo CreekUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Other		Reason for Other: Impact, spill is affecting the creek; it is unknown if it is drinking water.
3. a. INCIDENT LOCATION: 470 San Geronimo Valley Dr
b. CITY:c. COUNTY: d. ZIP:
San Geronimo
Marin CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/20/20231800 Residence 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: Marin County Waste Management Officee. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region: Coastal
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. melanie.gilbert@caloes.ca.gov
********* Control No: 23-6056 *********

Created by: Warning Center on: 09/20/2023 07:56:41 PM Last Modified by: Warning Center on: 09/20/2023 08:49:03 PM