Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/26/2022
TIME: 1627
RECEIVED BY: CONTROL#:
Cal OES - 22-6950
NRC - 1353472
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:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. SEWAGE =UNKNOWN Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC # 1353472, "THE CALLER STATED THAT THEY DISCOVERED AN RV AT THE LOCATION THAT
IS RELEASING RAW SEWAGE ONTO THE GROUND . THE AMOUNT OF MATERIAL
THAT RELEASED IS CURRENTLY UNKNOWN TO THE CALLER.THE CALLER STATED THAT NO ACTION HAS BEEN TAKEN."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3750 HARRIMAN AVE
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County90032SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/26/20221611 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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6950 *********

Created by: Warning Center on: 11/26/2022 04:27:54 PM Last Modified by: Warning Center on: 11/26/2022 04:41:23 PM