Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/29/2024
    TIME: 1126
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3083
    NRC - 1400264
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. Unleaded Gasoline=10 Gal(s)PETROLEUMNoNo
2. Reddish Sheen=10ft X 2ft SheenPETROLEUMNoNo
3. = NoNo
g. DESCRIPTION: Per the NRC Report: The caller is reporting a gasoline spill at a gas station. The caller believes that at least 10 gallons of gasoline were spilled onto the concrete and into the storm drain. The caller believes the gasoline comes from one of the pumps but doesn’t know the cause of the spill. Remedial Actions: None.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesStorm Drain, Coyote CreekUnknown
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 20940 Norwalk Blvd
b. CITY:c. COUNTY: d. ZIP:
Lakewood
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/29/20241100 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: LACoFD Health Haz-Mate. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3083 *********

Created by: Warning Center on: 05/29/2024 11:26:27 AM Last Modified by: Warning Center on: 05/29/2024 11:38:11 AM