Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/14/2024
    TIME: 1452
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2764
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
McDonalds
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. Carbon Dioxide =Unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting party states - the release occurred on 05/11/2024 at 0500. A valve on top of the Co2 tank failed causing the release in the basement of the restaurant; the release caused an alarm to be triggered; the Fire department and HAZMAT responded. Riverside County Environmental Health and the Fire Department cleared the building to reopen customers once they determined that the valve had been fixed. The Co2 tank could potentially be a 400 LLB tank.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 5425 Alrington Ave; Store #962
b. CITY:c. COUNTY: d. ZIP:
Riverside
Riverside County92504SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/11/20240500 Other
Description for Other : Restaurant
Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept.County Health
d. ADMIN. AGENCY: City of Riverside Fire Marshale. SEC. AGENCY: Riverside County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
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: 24-2764 *********

Created by: Warning Center on: 05/14/2024 02:52:27 PM Last Modified by: Warning Center on: 05/14/2024 03:11:13 PM