Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/01/2023
    TIME: 2119
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3603
    NRC - 1368902
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Los Angeles Department of Water and Power
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Asbestos=See Description N/ACHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states, An employee at the incident location, noticed that two pieces (6 feet x 2 feet) material on the ground and could potentially be asbestos. The area has been isolated with barricades. Cleanup is being conducted by the reporting party and a contractor. The material will be tested tomorrow when a lab is available. No waterways or storm drains will be impacted by this incident.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Other		Reason for Other: Area Isolated
3. a. INCIDENT LOCATION: 11801 Sheldon St.
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County91352SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/01/20231810 Other
Description for Other : Powerplant		Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party and Contractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Los Angeles City Fire Departmente. 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, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3603 *********

Created by: Warning Center on: 06/01/2023 09:19:05 PM Last Modified by: Warning Center on: 06/01/2023 09:28:35 PM