Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/23/2023
    TIME: 2204
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6115
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Riverside County Environmental Health
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. Gasoline =3 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states they received a report of a vehicle malfunctioning that caused it to leak gasoline when the engine was running. Vehicle is a Chrysler 300Z. The gasoline leaked onto concrete sidewalk surface. The gasoline did not go into storm drain or any waterway. The local fire department responded on scene and put dirt around the gasoline. County Environmental Health department responded to complete clean up. City street maintenance will dispose of the waste.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo No
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: near corner of 3rd St / Santa Fe Ave
b. CITY:c. COUNTY: d. ZIP:
San Jacinto
Riverside County92562 SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/23/20232030 Road Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCounty of Riverside and CalFire
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.County Environmental Health
d. ADMIN. AGENCY: Riverside County Environmental Healthe. 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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-6115 *********

Created by: Warning Center on: 09/23/2023 10:04:11 PM Last Modified by: Warning Center on: 09/24/2023 03:25:08 AM