Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/05/2024
    TIME: 2017
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6242
    NRC - 1415686
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
National Response Center
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Material - Unknown type=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC #1415686, "Caller is making a report involving a very strong hazardous chemical odor coming from an unknown source that is causing difficulty breathing. Caller smelled the odor very strong once they stepped out the house." REMEDIAL ACTION: Unknown AFFECTED MEDIUM: Air/Atmosphere
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: In the vicinity of 22627 Cavalier Street
b. CITY:c. COUNTY: d. ZIP:
Woodland Hills
Los Angeles County91364SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/05/20242005 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC
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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6242 *********

Created by: Warning Center on: 11/05/2024 08:17:31 PM Last Modified by: Warning Center on: 11/05/2024 08:35:32 PM