Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/08/2022
    TIME: 1225
    RECEIVED BY:
    CONTROL#:
    Cal OES - 22-4543
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Southwest 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 =Unknown UnknownVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller stated a service line (0.5in) was damaged releasing an unknown amount of natural gas. Control time was at 1220 hrs. Fire Dept and local Police Dept. are on scene for road closures and evacuations. No waterways impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNononeNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Road Closure
3. a. INCIDENT LOCATION: 15060 Nokomis Rd
b. CITY:c. COUNTY: d. ZIP:
Apple Valley
San Bernardino County92307MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/08/20221205 Residence
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoYes
Evacs #: 3 citizens		Unrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept.
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. 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, AIR RESOURCES BD, Co/WP, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-4543 *********

Created by: Warning Center on: 08/08/2022 12:25:43 PM Last Modified by: Warning Center on: 08/08/2022 12:33:28 PM