Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/09/2024
    TIME: 1029
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6848
    NRC - 1418367
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:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Formaldehyde Solution=Unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: Caller reported a release of an unknown amount formaldehyde and other unknown material that was released during a fire at the incident location. Caller stated the exact cause of the fire is unknown. Caller reported chemical like odors in the main hospital building following the fire.
---sensitive information---Caller states they believe the hospital may have been impacted by the burning chemicals, and stated the main hospital has not been tested.
---IMPACT---Fire Involved: YES, Fire Extinguished: YES, EVACUATIONS: YES, Who Evacuated: EVERYONE, Radius/Area:.1 Mile
---REMEDIAL ACTIONS---Chino Fire Department responded and extinguished the fire, Fire department stated the fire appeared to have started in the pathology lab. Release Secured: YES
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 5451 Walnut Ave
b. CITY:c. COUNTY: d. ZIP:
Chino
San Bernardino County91710SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/08/20241430 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: Unknown		Unrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Local Fire and PD
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. 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, CDPH-D.O., EMSA, FDC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6848 *********

Created by: Warning Center on: 12/09/2024 10:29:08 AM Last Modified by: Warning Center on: 12/09/2024 10:53:46 AM