Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/22/2023
    TIME: 2131
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6103
    NRC - 1379853
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:
Conico Oil
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Gasoline=20 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC, CALLER IS REPORTING A SPILL OF GASOLINE AT A GAS STATION. CALLER STATED THE WRONG HOSE WAS HOOKED UP RESULTING IN A GASOLINE SPILL WHILE OFF LOADING FROM A TANKER TRUCK. THE INCIDENT WAS CAUSED BY OPERATOR ERROR. THE SPILL AFFECTED LAND, ASPHALT AND CONCRETE. ABSORBENTS HAVE BEEN APPLIED AND CLEAN UP UNDERWAY. TRAILER TANKER # 254. THERE WERE NO CLOSURES. THE ENVIRONMENTAL IMPACT IS UNKNOWN

PER RESPONSIBLE PARTY, NO WATERWAYS OR STORM DRAINS WERE IMPACTED. THE SPILL IS STOPPED AND CONTAINED. THE FIRE DEPARTMENT HANDLED THE CLEAN UP.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 1205 S Alvarado St., Speedway Gas Station
b. CITY:c. COUNTY: d. ZIP:
Los Angeles
Los Angeles CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/22/20232100 Service Station Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Los Angeles City 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, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-6103 *********

Created by: Warning Center on: 09/22/2023 09:31:45 PM Last Modified by: Warning Center on: 09/22/2023 10:09:24 PM