Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/03/2023
    TIME: 1747
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0948
    NRC -
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:
CURA EMERGENCY SERVICES
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. GASOLINE=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: CALLER IS REPORTING THE RELEASE OF 20 GALLONS OF GASOLINE FROM A VEHICLE. THE RELEASED MATERIAL WENT ONTO THE ASPHALT AND 1 GALLON WENT INTO A STORM DRAIN. THE CAUSE OF THE RELEASE IS UNKNOWN AT THIS TIME.

CLEAN UP CREW ON-SITE
Release Secured: YES
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm DrainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 9462 FIRESTONE BLVD
b. CITY:c. COUNTY: d. ZIP:
Downey
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/03/20230930 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Downey 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, DFW-OSPR, LANDS, PARKS & REC, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0948 *********

Created by: Warning Center on: 02/03/2023 05:47:30 PM Last Modified by: Warning Center on: 02/03/2023 05:50:18 PM