Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/07/2024
    TIME: 0913
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3278
    NRC - 401157
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. Hydraulic Oil=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC Report: Caller reported a discharge of approximately 20 gallons of hydraulic oil from a case backhoe. Caller stated the discharge is occurring due to the machinery being operated in poor condition. Affected medium is soil / sand and clay. No waterways were impacted.

Remedial actions: Company ran a street sweeper water truck over oil that was discharged in the road.

h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if containedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 15434 Ramona Rd
b. CITY:c. COUNTY: d. ZIP:
Apple Valley
San Bernardino County92307MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/05/20241800 Road
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6B
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: 24-3278 *********

Created by: Warning Center on: 06/07/2024 09:13:25 AM Last Modified by: Warning Center on: 06/07/2024 09:32:23 AM