Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/05/2022
TIME: 1457
RECEIVED BY: CONTROL#:
Cal OES - 22-5865
NRC - 1349131
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Refrigerant Gas=UNK Lbs.VAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC: CALLER STATED COMPANY RELEASED REFRIGERANT GASES INTO THE AIR FROM AN AIR CONDITIONING UNIT ON THE ROOF OF AN APARTMENT COMPLEX.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNon/aNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
3. a. INCIDENT LOCATION: 1726 S Bentley Ave
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County90025SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/22/20221000 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Los Angeles City Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5865 *********

Created by: Warning Center on: 10/05/2022 02:57:19 PM Last Modified by: Warning Center on: 10/05/2022 03:02:22 PM