Governor's Office Emergency Services |
TIME: 0804 |
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Cal OES - 24-7136 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Gasoline | = | 4 | Gal(s) | PETROLEUM | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | ///Historical Report///Historical Report///Historical Report/// Per reporting party, On October 2, 2024, the reporting party was at a gas station when a mechanical failure occurred with the nozzle, causing at least 2 gallons of oil to spray onto his body and onto the concrete. The spill was cleaned up using a mop and bucket. The reporting party is experiencing injuries to his eyes and body. He notified relevant agencies, but no one has reached out to him. The CDFA conducted an investigation, which resulted in the gas station was found to have inoperative insertion interlock. A red tag and caution tape was placed on October 3rd. Was a section violation of CCR 4000. ///Historical Report///Historical Report///Historical Report/// | ||
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h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Unknown if stopped, Unknown if contained | No | None | No |
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l. MARITIME VESSEL No | ![]() | m. KNOWN IMPACT None | ![]() |
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3. a. INCIDENT LOCATION: 5164 W. Washington Blvd | |||
b. CITY: | c. COUNTY: | d. ZIP: | ![]() |
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Los Angeles | Los Angeles County | 90016 | SOUTH COAST AQMD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
10/02/2024 | 0652 | Merchant/Business | Mechanical |
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e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
Yes Injuries #: 1 | No | No | Unknown |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
OSHA, Department of Wights and Measures |
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: | ![]() | |
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Photo Attachment: | ![]() |