Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/14/2024
    TIME: 1506
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5808
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Ferrellgas
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. Propane gas =5 Gal(s)VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: At about 1207 hours possibly due to the weather the propane gas tank started releasing pressured gas from the release valve out to he atmosphere. The homeowner suffered a burn on the hand trying to shut off the tank valve. The Fire department assisted with some medical attention, and the homeowner might go to urgent care later. Reporting party turned off the valve around 1430 hours.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stoppedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 60750 Devil Ladder
b. CITY:c. COUNTY: d. ZIP:
Mountain Center
Riverside County92561SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/14/20241207 Residence Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
Yes
Injuries #: 1		NoNoN/A
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.Fire Hazmat
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, CDPH-D.O., Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5808 *********

Created by: Warning Center on: 10/14/2024 03:06:12 PM Last Modified by: Warning Center on: 10/14/2024 03:20:24 PM