Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/05/2023
    TIME: 1328
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7467
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
UCLA
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. Chilled Water w/ Sodium Nitrate=1,000 Gal(s)OTHERWaterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: A release of 1,000 gallons of chilled water mixed with sodium nitrate was released from an exterior water tank. It is believed that a truck collided with the water tank, however the incident is still currently under investigation. The substance released onto the concrete and asphalt and an unknown amount entered a storm drain. It is unknown where the storm drain leads. Personnel are allowing the water to evaporate and it will not be recovered. Repair's will be conducted by a contractor.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedYesStorm DrainNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 757 Westwood Plaza, next to 200 Medical Plaza on Le Conte Ave.
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles County90095SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/05/20231130 Road, School Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
LA County Fire Hazmat
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: 23-7467 *********

Created by: Warning Center on: 12/05/2023 01:28:15 PM Last Modified by: Warning Center on: 12/05/2023 01:46:19 PM