Governor's Office Emergency Services |
TIME: 1529 |
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Cal OES - 24-5058 NRC - 1410208 |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
![]() | LOS ANGELES DWP | ![]() | ![]() | ![]() |
2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. AMMONIA, ANHYDROUS | = | UNKNOWN AMOUNT | Unknown | CHEMICAL | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per NRC Report " THE CALLER STATED WHILE VENTING A FEED PUMP AT POWER GENERATING STATION, AN EMPLOYEE SPLASHED THEMSELVES WITH AQUEOUS AMMONIA. BECAUSE OF THIS INCIDENT AN UNKNOWN AMOUNT OF MATERIAL RELEASED ACROSS THE INDIVIDUAL’S FOREARMS. ACCORDING TO THE CALLER THE INDIVIDUAL WAS WEARING ALL OF THE REQUIRED PPE. CURRENTLY IT IS UNKNOWN IF THE EMPLOYEE SUFFERED ANY INJURIES FROM THIS INCIDENT. REMEDIAL ACTIONS: THE INDIVIDUAL WAS TRANSPORTED TO A LOCAL HOSPITAL FOR EVALUATION. | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | No | None | No |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 6801 E 2nd St | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Long Beach | Los Angeles County | 90744 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
09/07/2024 | 1150 | Other Description for Other : Power Plant | Unknown |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
Yes Injuries #: 1 | No | No | Unknown |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
d. ADMIN. AGENCY: Long Beach Fire Department | ![]() | e. SEC. AGENCY: LACoFD Health Haz-Mat |
f. ADDITIONAL COUNTY: | ![]() | g. ADMIN. AGENCY: |
h. NOTIFICATION LIST: | ![]() | ![]() |
Cal GEM: | RWQCB Unit: | 4 |
Cal OES Region: | ![]() | |
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Photo Attachment: | ![]() |