Governor's Office Emergency Services |
TIME: 1452 |
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Cal OES - 24-2764 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | McDonalds | ![]() | ![]() | ![]() |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Carbon Dioxide | = | Unknown | Unknown | VAPOR | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
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. | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Not contained | No | ||
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l. MARITIME VESSEL | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 5425 Alrington Ave; Store #962 | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Riverside | Riverside County | 92504 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
05/11/2024 | 0500 | Other Description for Other : Restaurant | Mechanical |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Unrecoverable |
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 Marshal | ![]() | e. SEC. AGENCY: Riverside County Environmental Health |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 8 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |