Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 01/23/2023
    TIME: 0652
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0677
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Smart & Final
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. Freon=Estimated 4 Lbs.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting party states they noticed a loud hissing sound and a smoke cloud came out a floral refrigerator case. The local fire department was called and arrived on the scene. 10 people were evacuated from the store. A refrigerator technician is on site and stopped the release. A Hazmat specialist is on the scene and evaluated the situation. The evacuation is now over and the scene is safe.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1401 East Katella Ave
b. CITY:c. COUNTY: d. ZIP:
Orange
Orange County92867SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/23/20230530 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 10		Unrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.Hazmat Specialist
d. ADMIN. AGENCY: City of Orange Fire Prevention Bureaue. SEC. AGENCY: Orange County Emergency Management Division
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: 23-0677 *********

Created by: Warning Center on: 01/23/2023 06:52:22 AM Last Modified by: Warning Center on: 01/23/2023 07:06:43 AM