Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/07/2023
    TIME: 0832
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-1002
    NRC - 1359473
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
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. OIL=UNKNOWN UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC the caller stated that a transformer is leaking oil at the location provided. The cause of the release is currently unknown to the caller. The amount of material that released is unknown to the caller

Affected Medium: Soil / Land

Remedial actions
The company responsible for transformer will come out and remove the transformer.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 44460 PALM VISTA AVE
b. CITY:c. COUNTY: d. ZIP:
Lancaster
Los Angeles County93535ANTELOPE VALLEY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/06/20230828 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
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:

6B
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: 23-1002 *********

Created by: Warning Center on: 02/07/2023 08:32:16 AM Last Modified by: Warning Center on: 02/07/2023 08:45:43 AM