Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 01/17/2019
TIME: 1508
RECEIVED BY: CONTROL#:
Cal OES - 19-0424
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
LA Co Hlth Hazmat
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. Diesel Fuel=150 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Release was due to a pad mounted diesel generator was dripping fuel over a long period of time, release was stopped, release impacted soil, cleanup is suspended until the soil dries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. KNOWN IMPACTNone
3. a. INCIDENT LOCATION: 30500 Arraster Canyon Road
b. CITY:c. COUNTY: d. ZIP:
Acton
Los Angeles County93510SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/15/20191230 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health
d. ADMIN. AGENCY: LACoFD Health Haz-Mate. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
4
AA/CUPA, DTSC, RWQCB, US EPA, USFWS
Photo Attachment:
********* Control No: 19-0424 *********

Created by: Warning Center on: 01/17/2019 03:08:06 PM Last Modified by: Warning Center on: 01/17/2019 03:13:45 PM