Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/28/2022
TIME: 1202
RECEIVED BY: CONTROL#:
Cal OES - 22-6974
NRC - 1353606
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:
USDA - Angeles National Forest
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Hydraulic Oil=30 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: “The caller is reporting a release of hydraulic oil onto a drainage ditch from unknown construction equipment. The caller states that the release was into a drainage ditch that was dry when the release occurred and then had ground water in it, the next day.”

Remedial Actions: Material contained, repairs made, shutdown system, isolated area, clean-up crew on-site, cleanup completed, investigation underway

Vehicle Type: Construction Vehicle
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesWater Information
Body of Water: Drainage Ditch
No
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Township 2, North Range 9, West Section 5
b. CITY:c. COUNTY: d. ZIP:
Unincorporated county area Los Angeles Antelope Valley
Los Angeles CountyANTELOPE VALLEY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/28/20220800 Other
Description for Other : National Forest
Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: LACoFD Health Haz-Mate. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, CALTRANS, CDPH-D.O., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6974 *********

Created by: Warning Center on: 11/28/2022 12:02:17 PM Last Modified by: Warning Center on: 11/28/2022 12:20:21 PM