Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/29/2024
    TIME: 1628
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7230
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Solvone
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. Gasoline, Automotive=10-20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party: A customer vehicle ran over the fuel delivery hose during a fuel transfer operation from the fuel tanker delivery truck to the underground gasoline storage tank at a Safeway Fuel Station causing the release. The release has been stopped. The release fuel impacted the immediate parking lot area; employees on site deployed booms to contained the material. Spill pads were then utilized for clean up and material disposed of in waste barrels. There were no injuries associated with the incident. The vehicle drove off after running over the hose; no license plate was obtained.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4224 Woodruff Ave
b. CITY:c. COUNTY: d. ZIP:
Lakewood
Los Angeles County90713SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/29/20241520 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: LACoFD Health Haz-Mate. SEC. AGENCY:
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/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-7230 *********

Created by: Warning Center on: 12/29/2024 04:28:24 PM Last Modified by: Warning Center on: 12/29/2024 04:39:23 PM