Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/19/2024
    TIME: 1032
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7075
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
VA Palo Alto
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. Cement Run-off Water=Unknown UnknownOTHERCement WaterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: Patirot contractors emptied a container of an unknown amount of cement run-off water into a storm drain. It is unknown where the storm drain leads. The material at the time of report is deemed unrecoverable and there is know known attempt at recovery as the release occurred on the 12/16/2024.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm DrainUnknown
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3801 Miranda Ave.
b. CITY:c. COUNTY: d. ZIP:
Palo Alto
Santa Clara County94304BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/16/20241400 Waterways Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Santa Clara County Department of Environmental Healthe. 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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-7075 *********

Created by: Warning Center on: 12/19/2024 10:32:41 AM Last Modified by: Warning Center on: 12/19/2024 10:50:52 AM