Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/18/2024
    TIME: 1226
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3474
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Riverside County Environmental Health Department
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. Dioxide, Carbon=Unknown N/ACHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: An above ground 50 lb storage tank failed due to an unknown type of mechanical problem. The incident resulted in a CO2 release to the atmosphere. A gas supplier was contacted and is currently enroute to conduct repairs. No fires or injuries occurred and no evacuations were necessary. The service station remains in operation.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 636 West Florida Avenue
b. CITY:c. COUNTY: d. ZIP:
Hemet
Riverside County92543SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/18/20241050 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: Riverside County Environmental Healthe. SEC. AGENCY:
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/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3474 *********

Created by: Warning Center on: 06/18/2024 12:26:31 PM Last Modified by: Warning Center on: 06/18/2024 12:52:25 PM