Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 05/20/2016
TIME: 0119
RECEIVED BY: CONTROL#:
Cal OES - 16-2998
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
ERTS
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. UN1263 Flammable Paint=5 Oz.CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: 55 gallon drum of UN1263 Flammable Paint had a seem failure of the container. It released approximately 5 oz of product to the 53' trailer flooring in the terminal. Spill was contained to the trailer. Contract Crew (Patriot Environmental) will mitigate the incident
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
YesNoN/ANo
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: RNL Carriers 10223 Calabash Avenue
b. CITY:c. COUNTY: d. ZIP:
Fontana
San Bernardino County92337SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/20/20160050 Other
Description for Other : Commercial Truck Terminal
Other
Description for Other : Seem failure product defect on a 55 gallon drum.
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
ERTSCUPA
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DFG-OSPR, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
AA/CUPA; DFG-OSPR; DTSC; RWQCB; US EPA; USFWS; Co/Hlth; Co/E-Hlth

Photo Attachment:
11. Cal OES Reg.
********* Control No: 16-2998 *********

Created by: Warning Center on: 05/20/2016 01:19:52 AM Last Modified by: Warning Center on: 05/20/2016 01:28:35 AM