Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/04/2023
    TIME: 0917
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3644
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Ralphs Grocery Company
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. Kitchen Grease=Unknown UnknownOTHERKitchen GreaseNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting party states a grease trap interceptor overflowed due to blockage causing the release of kitchen grease impacting the concrete and a storm drain. The release has been stopped and contained. A contractor conducted the clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm drainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 7221 Woodman Ave
b. CITY:c. COUNTY: d. ZIP:
Van Nuys
Los Angeles County91405SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/04/20230846 Merchant/Business Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Los Angeles City Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3644 *********

Created by: Warning Center on: 06/04/2023 09:17:20 AM Last Modified by: Warning Center on: 06/04/2023 09:25:26 AM