Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/02/2024
    TIME: 1115
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6714
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Property Manager for Harbor Village Apts
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 UnknownSEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, A sewage leak occurred in front of the mailboxes at the incident location, spilling onto the asphalt and affecting a nearby storm drain. The release has been stopped but not contained. Cleanup efforts, including the use of absorbents and vacuums, have been initiated by the City of Costa Mesa. The release may have a potential impact on the ocean.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesStorm DrainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4 Mark Lane
b. CITY:c. COUNTY: d. ZIP:
Costa Mesa
Orange County92626SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/02/20240932 Residence Unknown
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: 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, COASTAL COM, CDPH-D.O., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6714 *********

Created by: Warning Center on: 12/02/2024 11:15:12 AM Last Modified by: Warning Center on: 12/02/2024 11:36:43 AM