Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/08/2024
    TIME: 1622
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2649
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Thrive Freeze-dry
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. Ammonia=65.3 Lbs.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: Ammonia released from the ammonia system due to hairline fracture in glass at a manufacturing plant. This occurred at 0338 hours for 46 minutes on 05/07/2024. Staff stopped the release and have completed repairs. Staff were evacuated temporally to the parking lot.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1836 Lapham Dr
b. CITY:c. COUNTY: d. ZIP:
Modesto
Stanislaus CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/07/20240338 Industrial Plant Broken Pipe
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 102		Reporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CUPA
d. ADMIN. AGENCY: Stanislaus County Environmental Resourcese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2649 *********

Created by: Warning Center on: 05/08/2024 04:22:18 PM Last Modified by: Warning Center on: 05/08/2024 04:34:50 PM