Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 03/03/2021
TIME: 0109
RECEIVED BY: CONTROL#:
Cal OES - 21-1150
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
BNSF
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. Death of Railroad Employee=N/A N/ARAILROADNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: During yard operations an employee was fatality injured, unknown exact details, investigation is in progress, Possibly related to Train #HBARLAC102, Eng #BNSF8156, occurred in a railyard, nearest crossing is Stage Rd & Beach Blvd, RP personnel are enroute to investigate.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherNo
Detail for Other: No hazmat
l. KNOWN IMPACTOther
Reason for Other: Track Closure
3. a. INCIDENT LOCATION: La Mirada Railyard, MP 160.3, San Bernardino Sub
b. CITY:c. COUNTY: d. ZIP:
La Mirada
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/03/20210025 Rail Road Unknown
R/R Crossing less than 50 feet from incident site? Unknown
UPRR RIM#:
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1
NoN/A
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept., OtherEMS
d. ADMIN. AGENCY: LACoFD Health Haz-Mate. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
i. Cal GEM:
j. RWQCB Unit:

4
k. Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CDPH-D.O., CHP, OSHA, PUC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 21-1150 *********

Created by: Warning Center on: 03/03/2021 01:09:08 AM Last Modified by: Warning Center on: 03/03/2021 01:23:19 AM