Governor's Office Emergency Services |
TIME: 1406 |
|
Cal OES - 24-1941 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | City of Santa Monica Water Resources | ![]() | ![]() | ![]() |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Waste Water | = | 30 | Gal(s) | SEWAGE | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per the reporting party, 30 gallons of waste water sewage released from the man hole cover due to a blockage. The sewage has been released onto the east side of the street and approximately 3 gallons of sewage impacted the Pico-Kenter Storm Drain. The release has been stopped and contained and cleanup is being conducted by the reporting party. The Department of Health Services will be contacted by the reporting party. | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | Yes | Pico-Kenter Storm Drain | Unknown |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 4th and Colorado East Side of the Street | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Santa Monica | Los Angeles County | 90404 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
04/01/2024 | 1100 | Road | Blockage |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Reporting Party |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
Department of Health Services |
d. ADMIN. AGENCY: City of Santa Monica | ![]() | e. SEC. AGENCY: LACoFD Health Haz-Mat |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 4 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |