Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/23/2023
    TIME: 1407
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6108
    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=Unk UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states a third party contractor damaged a 1/2' pipe with a jack hammer. The natural gas release is under control as of 12:36 hours. There were 6 people were evacuated from 3 homes. No injuries or road closures reported. Evacuations lifted at 12:40 hours
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 9209 Crocus Ave
b. CITY:c. COUNTY: d. ZIP:
Fountain Valley
Orange County92708SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/23/20231108 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 6
Reporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Orange County Emergency Management Divisione. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

8
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-6108 *********

Created by: Warning Center on: 09/23/2023 02:07:57 PM Last Modified by: Warning Center on: 09/23/2023 02:17:16 PM