Governor's Office Emergency Services
Hazardous Materials Spill Report |
DATE: 12/21/2024
TIME: 0517
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CONTROL#:
Cal OES - 24-7119
NRC -
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1.a. PERSON NOTIFYING Cal OES:
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
 | ERTS Fedex Ground |  |  |  |
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 | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL
>= 300 Tons |
1. Diesel | = | 10 | Gal(s) | PETROLEUM | | No | No |
2. | = | | | | | No | No |
3. | = | | | | | No | No |
g. DESCRIPTION: | Per the reporting party: Due to mechanical issues 10 gallons of diesel fuel released onto the asphalt at the Fedex Ground Facility at the reported address. This release has been contained and a contractor will perform the clean up. |
 |  |  |  |
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Unknown if stopped, Contained | No | | No |
 |  |  |
l. MARITIME VESSEL
|  | m. KNOWN IMPACT
None |  |
 |  |  |  |
3. a. INCIDENT LOCATION: 21971 Industry Way |
b. CITY: | c. COUNTY: | d. ZIP: |  |
 |  |  |  |
City of Industry
| Los Angeles County | 91789 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: |
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
12/21/2024 | 0455 | Merchant/Business | Mechanical |
 |  |  |
 |  |  |  |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Contractor |
6. NOTIFICATION INFORMATION: |
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| | |
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment: |  |
11. Cal OES Reg.
********* Control No: 24-7119 *********
Created by: Warning Center on: 12/21/2024 05:17:13 AM Last Modified by: Warning Center on: 12/21/2024 05:31:30 AM