Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/05/2024
    TIME: 1546
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6776
    NRC - 1418096
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. Unknown oil=Unknown UnknownPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC report: The caller reported that an unknown chemical is being sprayed or released at their house from an unknown source. This is causing health concerns for the caller
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stoppedNoNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 422 West 9th St
b. CITY:c. COUNTY: d. ZIP:
Long Beach
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/05/20241538 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: Long Beach Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM: Southern
RWQCB Unit:

4
Cal OES Region: Southern
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Cal GEM, CDPH-D.O., CSWC Managers, EMSA, EDO, FDC, Cal OES REG, LDO, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. raymond.priest@caloes.ca.gov
********* Control No: 24-6776 *********

Created by: Warning Center on: 12/05/2024 03:46:33 PM Last Modified by: Warning Center on: 12/05/2024 03:55:20 PM