Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/12/2024
    TIME: 1848
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-0902
    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: Reporting party states, a civilian vehicle collided with a 1/2 inch pipe, resulting in the release of natural gas into the atmosphere. There is no visible cloud formed, the gas started at 1737 and the pipe was promptly shut down at 1801. Repairs will be carried out by the homeowner. Additionally, the gas meter was removed from the residence, and the riser was turned off. There were no fires or explosions reported in the vicinity. No evacuations or injures reported.
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: 21576 Waalew 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
02/12/20241737 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
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: 24-0902 *********

Created by: Warning Center on: 02/12/2024 06:48:25 PM Last Modified by: Warning Center on: 02/12/2024 07:14:32 PM