Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/03/2022
TIME: 1908
RECEIVED BY: CONTROL#:
Cal OES - 22-5832
NRC - 1348958
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:
Long Beach Fire Dept.
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Unknown Oil=Unknown SheenPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: "Caller states that they received a call of an unknown sheen from an unknown source on the Pacific Ocean. Caller states the sheen is covering four slips at the marina. Requested for the health department to respond."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesPacific OceanNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 450 E Shoreline Drive
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
10/03/20221831 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.NRC
d. ADMIN. AGENCY: Long Beach 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, COASTAL COM, CDPH-D.O., LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5832 *********

Created by: Warning Center on: 10/03/2022 07:08:14 PM Last Modified by: Warning Center on: 10/03/2022 07:12:39 PM