Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 04/25/2019
TIME: 1403
RECEIVED BY: CONTROL#:
Cal OES -
NRC - 1243765
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:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. UNKNOWN MATERIAL=UNKNOWN UnknownUNSPECIFIEDNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: CALLER IS REPORTING THAT THERE ARE UNKNOWN CHEMICALS BEING RELEASED
INTO THE AIR AT THE LANDFILL REMEDIATION SITE. THE CALLER STATED THAT THIS IS CAUSING PEOPLE IN THE AREA TO FEEL SICK.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNo
l. KNOWN IMPACTNone
3. a. INCIDENT LOCATION: 21498 MAGNOLIA ST
b. CITY:c. COUNTY: d. ZIP:
Huntington Beach
Orange CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/25/20191200 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Huntington Beach Fire Departmente. SEC. AGENCY: Orange County Emergency Management Division
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
8
CDPH-D.O.
Photo Attachment:
********* Control No: *********

Created by: Warning Center on: 04/25/2019 02:03:27 PM Last Modified by: Warning Center on: 06/05/2019 11:54:10 AM