Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/18/2023
    TIME: 1044
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7172
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
SoCal Gas
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. Natural Gas=N/A N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: A vehicle damaged a meter and riser causing a release of natural gas. CHP and local fire personnel responded, evacuating 16 people. The gas release was controlled at 0915 and the evacuation order was lifted. CHP and fire personnel have departed. SoCal Gas has maintenance crew onsite working on repairs.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4021 Rosewood Ave
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County90004SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/18/20230657 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 16		Unknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept.
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, CDPH-D.O., CHP, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7172 *********

Created by: Warning Center on: 11/18/2023 10:44:19 AM Last Modified by: Warning Center on: 11/18/2023 10:56:03 AM