Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/01/2023
    TIME: 1155
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3591
    NRC - 1368858
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
XXX
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Unknown Material=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: "THE CALLER STATES UNKNOWN CHEMICALS ARE COMING FROM THE INCIDENT LOCATION. THE CALLER STATES (2) PEOPLE HAVE DIED IN THE RESIDENCE. THE CALLER STATES THE DECEASED HAVE FOAM COMING FROM THE MOUTH, AND BELIEVES NEIGHBORS COULD BE AT RISK. THE CALLER STATES SEVERAL CHILDREN RESIDE THERE, AND THEY COULD BE AT RISK.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 15617 S. WHITE AVENUE
b. CITY:c. COUNTY: d. ZIP:
Compton
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/01/00231400 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: City of Compton Firee. 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, DFW-OSPR, AIR RESOURCES BD, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3591 *********

Created by: Warning Center on: 06/01/2023 11:55:07 AM Last Modified by: Warning Center on: 06/01/2023 11:58:43 AM