Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/26/2024
    TIME: 2200
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5460
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Southern California Gas Company
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. Natural Gas =N/A N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party : A vehicle backing up hit the meter set assembly (MSA) snapping the service valve off the riser causing the release of natural gas into the atmosphere. The release has not been stopped. A Southern California Gas crew is in route to the scene. The fire department is on scene and has evacuated 10 people from the residence with the meter attached to it and 1 person from a residence next door. There are no roadway closure and no injuries reported.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 22040 Fisher Street
b. CITY:c. COUNTY: d. ZIP:
Perris
Riverside County92570SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/26/20242003 Residence Collision
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 11		Unrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
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, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5460 *********

Created by: Warning Center on: 09/26/2024 10:00:57 PM Last Modified by: Warning Center on: 09/26/2024 10:09:46 PM