Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/20/2024
    TIME: 1853
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4717
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Bergman Supply
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. Various Chemicals listed below=N/A N/ACHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION:
1. Rubbing Alcohol 70%, 50 Gallons, Chemical
2. Cavicide, 220 Gallons, Chemical
3. Meticide Solution, 20 Gallons, Chemical
4. Ultra Sonic Solution, 30 Gals, Chemical
5. Evacuation System Cleaner, 30 Gals, Chemicals
6. Ethanol Alcohol 95%, 8 gals, Chemicals
7. Tar Stain Remover, 20 Gals, Chemical

As a result of a fire at a Medical Cleaning Supply company, seven types of chemicals were released.. The fire has been extinguished by the local Fire Department, and the Hazmat team is on site completing inspections, testing water run off (water tests came back negative for any hazardous substances), and will contract the clean up. The fire occurred in an isolated area of the building. No waterways were impacted, no injuries or evacuations were conducted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 11834 Teale
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County90230SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/20/20241500 Industrial Plant Other
Description for Other : Fire
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoCo. HazMat
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health, Fire Dept.
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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4717 *********

Created by: Warning Center on: 08/20/2024 06:53:10 PM Last Modified by: Warning Center on: 08/20/2024 07:18:53 PM