@Q Shell Oil Products US Martine: Refinery 0, Box 711 Martinez, CA 98553-0071 December 22,2016, ia hand delivery to CCC Heath serees andl. Sayer Chet Environmental Heath and Hazardous Matera fear onira Costa Hazardous Mater Programe 4585 Pacheco Boulevard, Site 100 fe: 72 Hour Report for 12/0/16 iedent Dear Saver, ‘As eequesed by Contra Costa County Health Services, attached isthe 72 Hour report regarding the nine whieh oecuted at Shell Marne Retnery on December 19,2016. This report moe ‘the requirement Inthe "Harardous Materas Incident Notation Poy” dated anwar 2, ane ty have any questions, please contact me a 925-313-3079 or ia ea at hanquyenestel. com sexe, Ya Ug sana roc ney Manas tude: Flow up Nanton apo fom cc: Chon cheung, cCcHsO "Mihae Dossey,CCCHSO SMR 72-hr report 12/19/16ATTACHMENT B For CCHS Use Only {[2HOUR FOLLOW-UP NOTIFICATION REPORT FORM. CONTRA COSTA HEALTH SERVICES Received By: INSTRUCTIONS:A hardcopy and an electronic copy ofthis report | Date Received: {sto be submitted forall Level 2 and 3 incidents or when requested | Incident Numbor bby CCHS, See Attachment BI for suggestions regarding the type | Copied To: ‘oF information o be inched inte report. Atach ational sheets | Event Classification Level fs nscessay, Forward the completed form to: ATTENTION: Randall L. Sawyer Chief Environmental Health and Hazardous Materials Offiver Contra Costa Hazardous Materials Programs 44585 Pachooo Boolevard, Suite 100 Martinez, CA 94553 INCIDENT DATE: December 19, 2016 INCIDENT TIME: 1:15 pm (eppeoximately) FACILITY: Shell Marine refinery PERSON TO CONTACT FOR ADDITIONAL INFORMATION, HaNauyen Phone number 925-313-3079 |. SUMMARY OF EVENT: [At approximately 1:15 a, om Deceber 19,2016, the Sub 1 bus seton G main breaker ppd usin los of power ta 12k dsraton sain, Su 1203 and Sub 1206. Sub is oof Shells tree nmin eletclsubtatone tat fed the refinery. This resulted in los of power 10 Inutipe unis in LOP, OPCEN, Utes, an Logit Vie Hill rea. Subsequently, the affected tts shudown due to loss of power. The Sub 1 bus Crain breaker was closed at approxiately 1:17PM, restoring power to Sub 1203, sd Sub 1206, “The mile unis shawn caused flaring a the LOP and FXG fares, which rested in muiple cor complaints rom the community I. AGENCIFS NOTIFIED, INCLUDING TIME OF NOTIFICATION: ‘Te following agenies wore notified by phane atthe tines in parentheses for 8 potential EPA Reportable Qusatity (RO) Fr hydrogen slide (H2S): + conta Costa Coumy Henk Servee: 25 ps vin CWS Level, piel o CWS Level 201200 pm {ay Atce Air Quality Distt: CWS Level Inaction ad by pone to ispetor a 135 pm 1 Marines Plie Department: CWS Level I notion ad by bone at 139 pn 1 Ce Sheri Departs CWS Level otfeton and by phone at 1:0 pm 1 console Fire: CWS Level atin and by phone 14pm 1 California Emergency Management gency at 12 pm {+ Navona Response Cet at 1:80 p SMR 72-hr report 12/19/16vl vu. vl xt ‘2-HOUR REPORT, PAGE 2 INCIDENT DATE: " Dovember 19,2016 FACILITY: ‘Shell Martine refinery AGENCIES RESPONDING, INCLUDING CONTACT NAMES AND PHONE: NUMBERS: CConra Cota County Heath Services Departnent—Lacy Friedman (915-335-3231) Bay Area Air QualityDist Almira Van (415-149-8011) (Cota Cott County Sherriff SGT Haley EMERGENCY RESPONSE ACTIONS: Shel activated he Emergency Operations Center, which brings tober Environmental, Heath & Seley, Sceuity, Operations and Management ogee fo asst cpordinatng the response. Ip ation, Shell's Community Sampling Team was deplyed to the commanity to monitor for penal ose impacts (oie, lors) IDENTITY OF MATERIAL RELEASED AND ESTIMATED OR KNOWN QUANTITIES: “The material release ro the ref combustion prods of ea ga hat cotans 2S. When burma inthe are he HS combusted to $02, The estimated amount of materia relesed ote LOP iar was 17,615 kg We wil ave the emisions ivomation by the 3 dy rep. METEOROLOGICAL CONDITIONS AT TIME OF EVENT including wind speed ection, and temperature: As 140 PM, the wind dts was fom 25 depees NEand the wind sped was 4.8 mph, Conditions ‘pote le ad te trpeatre ws approximately 53°. DESCRIPTION OF INJURIES: “There were no injces COMMUNITY IMPACT including number of offsite complains, air sampling data during ‘There were multiple community calls ropading this incidet. Tho refinery's Ground Level Monitors Tected one fii fene-line showed no deteatio of FBS or SO2 above background levels INCIDENT INVESTIGATION RESULTS, Is the investigation of the incident complete at this time? No the answer ino, submit 30 day final or interns report the answor is yes, complete the following SUMMARIZE INVESTIGATION RESULTS BELOW OR ATTACH COPY OF REPORT: SUMMARIZE PREVENTATIVE MEASURES TO BE TAKEN TO. PREVENT RECURRENCE INCLUDING MILESTONE AND COMPLETION DATES FOR IMPLEMENTATION: SMR 72-he report 12/19/16