Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/01/2024
    TIME: 1406
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-1941
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Santa Monica Water Resources
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. Waste Water=30 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
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.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesPico-Kenter Storm DrainUnknown
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4th and Colorado East Side of the Street
b. CITY:c. COUNTY: d. ZIP:
Santa Monica
Los Angeles County90404SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/01/20241100 Road Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Department of Health Services
d. ADMIN. AGENCY: City of Santa Monicae. 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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-1941 *********

Created by: Warning Center on: 04/01/2024 02:06:33 PM Last Modified by: Warning Center on: 04/01/2024 02:19:47 PM