Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/14/2024
    TIME: 1431
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6415
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
South West Gas
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. Natural gas=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party due to a third-party contractor inadvertently backed into a meter, resulting in the release of an undetermined quantity of natural gas into the atmosphere. The release was promptly halted and is considered unrecoverable. The incident occurred at 1355 hours, and the release was secured at the same time. No evacuations were required.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNon/aNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 15434 Dakota Rd.
b. CITY:c. COUNTY: d. ZIP:
Apple Valley
San Bernardino County92307MOJAVE DESERT AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/14/20241355 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. 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, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6415 *********

Created by: Warning Center on: 11/14/2024 02:31:13 PM Last Modified by: Warning Center on: 11/14/2024 02:55:20 PM