Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/14/2024
    TIME: 0903
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2755
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Santa Clara Valley Medical Center
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. Compressor Oil=1 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: The compressor located inside a pharmaceutical shipping area began to overheat due to unknown reasons causing it to release 1 gallon of compressor oil onto the ground. The machine began to smoke and engaged the fire suppression system. (15) person's were evacuated with no injuries. The fire department and sheriff's department arrived on scene and shut down the road in front of the building. The reporting party will conduct cleanup of the material. No pharmaceutical products were lost or damaged.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: 751 South Bascom Ave., Building R, Don Lowe Pavillion
b. CITY:c. COUNTY: d. ZIP:
San Jose
Santa Clara County95128BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/14/20240745 Other
Description for Other : Pharmacy		Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 15		Reporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Sheriff Ofc.Hospital Protective Services
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, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2755 *********

Created by: Warning Center on: 05/14/2024 09:03:25 AM Last Modified by: Warning Center on: 05/14/2024 09:19:49 AM