Governor's Office Emergency Services |
TIME: 1402 |
|
Cal OES - 24-2883 NRC - |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
| Private Citizen | | | |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
| | | |
| 2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
| 1. Unknown white powder substance | = | 4ft x 5ft | N/A | UNSPECIFIED | No | No | |
| 2. | = | No | No | ||||
| 3. | = | No | No |
| g. DESCRIPTION: | The reporting party states a contractor came to repair a hole in his porch and there was an unknown white powder substance that was left behind. The substance is taking up 4 feet by 5 feet in space on the porch. The reporting party is concerned about his health issues due to the unknown substance. The reporting party states there has been no remedial actions | ||
| | | |
| h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
| Stopped, Not contained | No | None | No |
| | | |
| l. MARITIME VESSEL No | | m. KNOWN IMPACT None | |
| | | |
| 3. a. INCIDENT LOCATION: 6543 Woodley Ave, Apartment 5 | |||
| b. CITY: | c. COUNTY: | d. ZIP: | |
| | | |
| Van Nuys | Los Angeles County | 91406 | SOUTH COAST AQMD |
| 4. INCIDENT DESCRIPTION: | |||
| a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
| 04/01/2024 | 1000 | Residence | Human Error |
| | | |
| | | |
| e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
| No | No | No | Unknown |
| 6. NOTIFICATION INFORMATION: | ||
| a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| Los Angeles County Environmental Health | ||
| d. ADMIN. AGENCY: Los Angeles City Fire Department | | e. SEC. AGENCY: LACoFD Health Haz-Mat |
| f. ADDITIONAL COUNTY: | | g. ADMIN. AGENCY: |
| h. NOTIFICATION LIST: | | |
| Cal GEM: | RWQCB Unit: | 4 |
| Cal OES Region: | | |
| ||
| | |
| Photo Attachment: | |