Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/01/2024
    TIME: 0940
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6162
    NRC - 1415301
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NATIONAL RESPONSE CENTER (NRC)
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
OTHER
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. UNKNOWN MATERIAL=Unknown UnknownCHEMICAL, VAPOR, OTHERAMMONIA OR FREON OR CHEMICALSNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC report, CALLER REPORTS AN UNKNOWN AMOUNT OF AN UNKNOWN CHEMICAL, POSSIBLY FREON, HAS BEEN RELEASED INTO THE ATMOSPHERE. THE MATERIAL IS COMING POSSIBLY FROM THE A/C UNIT. THE CAUSE, ACCORDING TO STAFF, IS THEY ARE UNDER RENOVATION. CALLER STATES IT FEELS AS IF THEY BREATHED AMMONIA ALL NIGHT. CALLER BELIEVES THAT THE RELEASE OF THESE MATERIALS MAY BE A VIOLATION OF PROPOSITION 65
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNon/aNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 120 S. REEVES DR
b. CITY:c. COUNTY: d. ZIP:
Beverly Hills
Los Angeles County90212SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/01/20240100 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC
d. ADMIN. AGENCY: e. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
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: 24-6162 *********

Created by: Warning Center on: 11/01/2024 09:40:16 AM Last Modified by: Warning Center on: 11/01/2024 09:50:51 AM