Governor's Office Emergency Services |
TIME: 1424 |
|
Cal OES - 24-5706 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
Private Citizen |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Mold | = | Unknown | N/A | BIOMEDICAL | No | No | |
2. Paint | = | Unknown | N/A | CHEMICAL | No | No | |
3. | = | No | No |
g. DESCRIPTION: | *** Historical Report, Historical Report, Historical Report *** Per the reporting party, at the listed location, the reporting party experienced toxic exposure to mold and toxic paint at the facility. He is suffering from toxic affects from this exposure affecting his ability to walk. There is no clean-up. The exposure occurred in the past while the reporting party resided at the LA Family Housing community. *** Historical Report, Historical Report, Historical Report *** | ||
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Unknown if stopped, Unknown if contained | No | N/A | No |
l. MARITIME VESSEL No | m. KNOWN IMPACT None | ||
3. a. INCIDENT LOCATION: 7843 Lankershim Blvd, LA Family Housing | |||
b. CITY: | c. COUNTY: | d. ZIP: | |
North Hollywood | Los Angeles County | 91605 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
06/01/2024 | 0645 | Other Description for Other : Homeless shelter | Other Description for Other : Exposure to mold and toxic paint |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Unknown |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
EMS |
d. ADMIN. AGENCY: Los Angeles City Fire Department | e. SEC. AGENCY: LACoFD Health Haz-Mat | |
f. ADDITIONAL COUNTY: | g. ADMIN. AGENCY: | |
h. NOTIFICATION LIST: | ||
Cal GEM: | RWQCB Unit: | 4 |
Cal OES Region: | ||
Photo Attachment: |