Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/28/2023
    TIME: 1334
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7322
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
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. Diesel=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting there is a leaking nozzle from a gas pump at the given location. The release is getting onto the concrete and it is unknown if the release is impacting any waterways. The release is ongoing and there has been no remedial actions.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedUnknownUnknownUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 6364 Greeley Hill Rd
b. CITY:c. COUNTY: d. ZIP:
Coulterville
Mariposa County95311MARIPOSA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/28/20231241 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoNone
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Mariposa County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
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: 23-7322 *********

Created by: Warning Center on: 11/28/2023 01:34:29 PM Last Modified by: Warning Center on: 11/28/2023 01:47:21 PM