Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/13/2024
    TIME: 0911
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3384
    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. Gas, Natural=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A third party struck and damaged a 1/2 inch plastic natural gas service line during an excavation. Southwest Gas crews responded to the scene, isolated the line, and stopped the release. No fires or injuries were reported, and no evacuations were necessary. Permanent repairs have been completed.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 12764 Skyline Ranch Drive
b. CITY:c. COUNTY: d. ZIP:
Apple Valley
San Bernardino County92308MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/13/20240721 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
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/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3384 *********

Created by: Warning Center on: 06/13/2024 09:11:54 AM Last Modified by: Warning Center on: 06/13/2024 09:21:52 AM