Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/27/2023
    TIME: 1209
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7294
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
LA Co Sanitation Dist
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. Water - Secondary Treated=4,500 Gal(s)OTHERNon potableNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A wash water line ruptured for an unknown reason causing the release, material flowed onto asphalt then went into a storm drain, the drain outfall leads to a near by lake, RP made biological observations which reveled no impacts to the waterway, the Los Angeles Co Public Health and RWQCB was notified on the day of the incident, RP handled the containment and clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesMachado LakeNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 24501 S Figueroa St, AK Warren Water Resource Facility
b. CITY:c. COUNTY: d. ZIP:
Carson
Los Angeles County90745SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/22/20231403-1445 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
LA Co Public Health, RWQCB
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, CDPH-D.O., LANDS, PARKS & REC, Co/WP
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7294 *********

Created by: Warning Center on: 11/27/2023 12:09:46 PM Last Modified by: Warning Center on: 11/27/2023 12:26:30 PM