Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/11/2021
    TIME: 2025
    RECEIVED BY:
    CONTROL#:
    Cal OES - 21-7076
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Pacific Coast Energy Co
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. Oil - Crude Type<5 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A old abandoned internal pipeline leaked residual material causing the release, material flowed from underground onto asphalt, the facility has been shut down for an investigation to determine exact cause, RP and contractor are handling the containment and clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 9151 W Pico Blvd, West Pico Production Facility, Alley between two facility sections
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County93035SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/11/20211955 Refinery 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: Los Angeles City Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM: Southern
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Cal GEM, Co/WP
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-7076 *********

Created by: Warning Center on: 12/11/2021 08:25:06 PM Last Modified by: Warning Center on: 12/11/2021 08:34:47 PM