Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/28/2024
    TIME: 2233
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4291
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Los Angeles County Public Health
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. Sewage=2780 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller states that due to vandalism, plastic and grease build up, a main line overflowed through a manhole cover. The Public Health personnel recovered 2580 gallons of the total 2780 gallons. The 200 remaining gallons impacted a local private drain.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesprivate drainNo
l. MARITIME VESSEL
m. KNOWN IMPACT
3. a. INCIDENT LOCATION: 3800 Poppyseed Lane
b. CITY:c. COUNTY: d. ZIP:
Calabasas
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/28/20241415 Residence Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co HealthFarm Water Maintenance Dept
d. ADMIN. AGENCY: LACoFD Health Haz-Mate. 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, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-4291 *********

Created by: Warning Center on: 07/28/2024 10:33:25 PM Last Modified by: Warning Center on: 07/28/2024 10:51:04 PM