Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 08/21/2019
TIME: 2150
RECEIVED BY: CONTROL#:
Cal OES - 19-5406
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Civilian
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. Contaminated Water - Sewage=Unk UnknownSEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: *** CONTINUOUS SPILL***

Caller stated that they have a sewage pipe leaking under the building this is causing the released material to come up and release out of their sinks and tubs when the water is turned on. Caller stated that there are particals in the water.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedUnknownUnknown
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 21107 Amie Ave
b. CITY:c. COUNTY: d. ZIP:
Torrance
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/01/20191200 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, OtherWater Dept., CO EHWater Dept., CO EH, Co Hlth, RWQCB
d. ADMIN. AGENCY: Torrance Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/Hlth, Co/E-Hlth
AA/CUPA; DTSC; RWQCB; US EPA; USFWS; DFG-OSPR; CDPH-D.O.; DWP-DO; LANDS; PARKS & REC; Co/Hlth; Co/E-Hlth

Photo Attachment:
11. Cal OES Reg.
********* Control No: 19-5406 *********

Created by: Warning Center on: 08/21/2019 09:50:01 PM Last Modified by: Warning Center on: 08/21/2019 10:11:38 PM