Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/13/2019
TIME: 0027
RECEIVED BY: CONTROL#:
Cal OES - 19-6579
NRC - 1260974
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
USCG Sector LA/LB (IMD)
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. **POTENTIAL RELEASE** GASOLINE=13 Gal(s)PETROLEUMNoNo
2. = YesNo
3. = NoNo
g. DESCRIPTION: **POTENTIAL RELEASE**
PER NRC REPORT: CALLER REPORTED A POTENTIAL RELEASE OF 13 GALLONS OF GASOLINE ON
BOARD OF AN AGROUND VESSEL IN THE PACIFIC OCEAN DUE TO OPERATOR
ERROR. VESSEL INFORMATION: PLEASURE CRAFT, #CF6421HS
REMEDIAL ACTIONS VESSEL WAS PULLED OUT OF THE SURF ZONE AND IS ANCHORED. OWNER IS WORKING WITH INSURANCE TO GET THE VESSEL REMOVED FROM THE BEACH.
**POTENTIAL RELEASE**
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherYesPACIFIC OCEANNo
Detail for Other: **POTENTIAL RELEASE**
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: SURFSIDE AVE & ANDERSON ST
b. CITY:c. COUNTY: d. ZIP:
Seal Beach
Orange CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/12/20191900 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
PF AND FD
d. ADMIN. AGENCY: Orange County Emergency Management Divisione. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, COASTAL COM, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
AA/CUPA; DTSC; RWQCB; US EPA; USFWS; DFG-OSPR; COASTAL COM; LANDS; PARKS & REC; USCG; Co/WP; Co/Hlth; Co/E-Hlth

Photo Attachment:
11. Cal OES Reg.
********* Control No: 19-6579 *********

Created by: Warning Center on: 10/13/2019 12:27:56 AM Last Modified by: Warning Center on: 10/13/2019 12:37:47 AM