Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/19/2024
    TIME: 0923
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3494
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PG&E
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. FR3 dielectric fluid=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting party states a vehicle hit an overhead power pole and a fire hydrant. Due to the collision there was a release of 20 gallons of FR3 dielectric fluid that mixed with water impacting a storm drain. The release is stopped, and the reporting party states most of the substance is unrecoverable. Local fire department, police department, and emergency medical services were all on the scene. It was unknown at the time of the report if there were any injuries or fatalities. A contractor is on site for the clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedYesStorm DrainUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: 2760 Alemany Blvd
b. CITY:c. COUNTY: d. ZIP:
San Francisco
San Francisco CountyBAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/19/20240030 Road Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
UnknownUnknownNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept., OtherEMS
d. ADMIN. AGENCY: San Francisco County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3494 *********

Created by: Warning Center on: 06/19/2024 09:23:04 AM Last Modified by: Warning Center on: 06/19/2024 09:33:33 AM