Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/06/2023
    TIME: 1254
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7487
    NRC - 1386043
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:
Long Beach Fire Department
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Sewage=20 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC report: RAW SEWAGE RELEASED FROM A BACKED UP SEWAGE LINE. CALLER STATES THIS HAS BEEN AN ONGOING ISSUE FOR APPROX. TWO WEEKS. REMEDIAL ACTIONS: CONDUCTING CLEANUP.

Pipeline Type: OTHER
DOT Regulated: UNKNOWN
Pipeline Above/Below Ground: BELOW
Exposed or Under Water: NO
Pipeline Covered: UNKNOWN

---WATER INFORMATION---
Body of Water: STORM DRAIN
Tributary of: PACIFIC OCEAN
Water Supply Contaminated: UNKNOWN

State Agency Number: 62436
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesStorm Drain / Pacific OceanNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1923 East Broadway
b. CITY:c. COUNTY: d. ZIP:
Long Beach
Los Angeles County90802SOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/06/20231222 Road Overflow
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoFire Dept.
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.Water Dept. Health Dept.
d. ADMIN. AGENCY: Long Beach Fire Departmente. SEC. AGENCY: LACoFD Health Haz-Mat
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, COASTAL COM, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7487 *********

Created by: Warning Center on: 12/06/2023 12:54:41 PM Last Modified by: Warning Center on: 12/06/2023 01:13:06 PM