Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/16/2024
    TIME: 1501
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2812
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Stantec
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. Diesel =11 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party : A customer was fueling their vehicle and an overflow occurred due to inattention. It is not known why the gas nozzle did not shut off. The material impacted the concrete around the fuel pump, went into a flower bed and some onto the street. No waterways or storm drains were impacted. The store employees shut off the gas pump and fire department responded. The fire department absorbed as much as possible with kitty litter, additional gasoline was picked up with absorbents and placed into blue drums. A contractor is also in route to complete clean up and disposal.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 20850 Devonshire Street -Speedway Gas Station
b. CITY:c. COUNTY: d. ZIP:
Chatsworth
Los Angeles County91311SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/16/20241458 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2812 *********

Created by: Warning Center on: 05/16/2024 03:01:54 PM Last Modified by: Warning Center on: 05/16/2024 03:11:32 PM