Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 01/17/2019
TIME: 1524
RECEIVED BY: CONTROL#:
Cal OES - 19-0426
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Southwest Gas
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=Unk UnknownVAPORNoNo
2. = NoNo
3. = NoYes
g. DESCRIPTION: Release was due to a Southwest Gas Tech struck a 1 inch service line resulting in the release venting into the atmosphere and becoming unrecoverable, release was stopped at 1510 hrs, no expected impacts to the environment or community.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNo
l. KNOWN IMPACTNone
3. a. INCIDENT LOCATION: 15260 Nisqualli Road
b. CITY:c. COUNTY: d. ZIP:
Victorville
San Bernardino County92395MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/17/20191429 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.Fire Dept.
d. ADMIN. AGENCY: Victorville Fire Departmente. SEC. AGENCY: San Bernardino County Fire Department
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
6B
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
********* Control No: 19-0426 *********

Created by: Warning Center on: 01/17/2019 03:24:24 PM Last Modified by: Warning Center on: 01/17/2019 03:32:28 PM