Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/02/2023
    TIME: 2215
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0919
    NRC - 1359154
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. UNKNOWN MATERIAL=UNKNOWN AMOUNT UnknownCHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC: THE CALLER STATED THAT THEY BELIEVE UNKNOWN INDIVIDUALS ARE TRYING TO KILL HER WITH UNKNOWN CHEMICALS. THE CALLER BELIEVES THAT THESE INDIVIDUALS ARE PLACING THE CHEMICALS BETWEEN THE WALLS. THE EXACT AMOUNT OF MATERIAL THAT RELEASED IS UNKNOWN. ACCORDING TO THE CALLLER THIS HAS BEEN GOING ON FOR AROUND (2) WEEKS.

REMEDIAL ACTIONS: THE CALLER STATED THAT THEY HAVE NOTIFIED LOCAL AUTHORITIES.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4706 PARK LN APT 113
b. CITY:c. COUNTY: d. ZIP:
Moorpark
Ventura County93021VENTURA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/03/20230930 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept.
d. ADMIN. AGENCY: Ventura County Environmental Healthe. 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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0919 *********

Created by: Warning Center on: 02/02/2023 10:15:11 PM Last Modified by: Warning Center on: 02/02/2023 10:19:45 PM