Agenda packet — Hawaiian Gardens City Council, August 13, 2025 (part 2 of 2)

The Superintendent or Supervisor who receives the emergency call will investigate the complaint and take appropriate action, including immediate dispatch of a standby crew with necessary equipment to take care of the problem or refer the call to other agencies if the problem is found not to be in our jurisdiction.

All contact information can be found in the Combined Resources Phone List in Appendix A.

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3 Spill Response Procedures
Sewer service calls are high priority events that demand a prompt response to the location of the problem. During normal working hours, the nearest Sewer Maintenance Crew is the Primary Responder. During after hours, the staff assigned to the Emergency Call List is the Primary Responder who will investigate the service call to determine the appropriate response.

All contact information can be found in the Combined Resources Phone List in Appendix A.

The response procedures for spills caused by sewers managed by the Department of Public Works along with a notification table are depicted in Appendix B.

The following information provides the order of operations for crew response procedures relating to spills:

The crew shall also document the overflow with photographs of the point of overflow, property damage, traffic control, containment method, and point of entry to storm drain system. At this time, crews identify the probable cause of the overflow (i.e. grease, roots, rocks, etc.) and then remedial actions are taken to ensure the mainline is down and running normal. The complainant of the overflow is informed of the cause of the problem and the remedial action taken.

3.1 Safety
All responding Districts personnel are responsible for following Los Angeles County Public Works safety procedures at all times. Assume that the overflow contains hazardous materials, particularly if it occurs in an industrial area. Crews shall stay upwind of any potential air contamination or fumes until it is determined to be safe to approach the origin of the spill. If hazardous materials are suspected, our crews are to notify the Department of Public Works' Dispatch Unit so that a Hazmat investigation can be made immediately.

3.2 Traffic and Crowd Control
Traffic control requirements vary depending on the location and the risk to operating personnel and the public. The Districts use the following traffic control devices, as appropriate:
• Warning signs (signs with the symbol for person working are preferred); • Directional arrow signs on rear of the truck;
• Traffic cones clearly delineating traffic lanes and directions; and • One or more flaggers utilized to control and direct traffic where visibility is limited or the possibility of collision exits.

Place warning signs, cones, barricades and caution tape as needed to keep vehicles and pedestrians away from contact with spilled sewage.

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3.3 Primary Responder Priorities
The Primary Responder’s priorities, as the first person to respond to the call, are:
• To follow safe work practices;
• To respond promptly with appropriate equipment;
• To contain the spill wherever feasible;
• To restore the flow as soon as practicable;
• To minimize public access to and/or contact with the spilled sewage; • To ensure proper cleanup has occurred with contractor; and • To restore the area to its original condition (or as close as possible).

3.4 Initial Response
Upon notification of a possible sewer spill to the Public Works 24-hour Emergency phone number, the operator receiving the call gathers as much information as available through the caller. Information typically available includes the time the spill was noticed, address of the spill, general location of the spill (street, alley, easement, parking lot, private property, etc.) as well as a call back telephone number of the calling party in case additional information is needed. The Service request form to be filled by the operator after receiving the notification of a spill is provided in Appendix C.

The receiving operator will call the nearest crew during normal working hours or the staff assigned to the Emergency Call List during after-hours. All known information about the spill will be provided to the responding party.

Upon arrival, the responding crew will:
• Field verify the address and nearest cross street to determine whether the spill or backup is located in LACPW’s service area. If in LACPW’s service area, call the County Operator within 15 minutes to notify Department of Public Health. Notify the responsible maintenance agency if it is not a LACPW facility. • Note arrival time at spill site.
• Use best judgment to determine whether to proceed immediately with blockage removal versus containment.
• If the spill/backup is caused by a private lateral, the responding crew should contain/mitigate the spilled sewage to prevent sewage from entering the public right of way without LACPW staff going on private property. • Set up absorbent socks or sandbags to prevent flow from entering any nearby storm drain or catch basin. The cleaning truck crew will also locate the dry sewer manhole for the jetter truck to clear the upstream stoppage. • Set up traffic and pedestrian control as necessary for safety of the public and the response crew.

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3.4.1 Restore Flow
Using the appropriate cleaning tools, the LACPW’s jetter truck will set up downstream of the blockage and hydro clean upstream from a clear manhole. The crew will attempt to remove the blockage from the system and observe the flows to ensure that the blockage does not recur downstream.
• If the blockage cannot be cleared within a reasonable time, or the sewer requires construction repairs to restore flow, then initiate additional containment measures and/or bypass pumping.
• If the blockage is too large for the sewer operations crew to bypass, Sewer Maintenance Division will access additional resources through Emergency OnCall contracts to assist with a larger bypass.

3.4.2 Initiate Spill Containment Measures
The responding crew should attempt to contain as much of the spilled sewage as possible using the following steps:
• Determine the immediate destination of the overflowing sewage. • Department of Public Works, Stormwater Maintenance Division (SWMD), is notified of all overflows that discharge into the storm drain system or flood control channel. SWMD’s role is to assist in tracing and capturing as much of the spill before it reaches waters of the United States. A sewage spill greater than 1,000 gallons and likely to enter a facility is considered a significant release and should be handled in the same way as an illicit discharge as per County of Los Angeles Department of Public Works’ Stormwater Maintenance Division ‘Illicit Discharge Emergency Response Procedures’. The SWMD Illicit Discharge Emergency Response Flowchart is shown in Appendix D.
• Implement immediate containment measures consisting of containing flow from reaching catch basins using absorbent socks, and/or other dam construction material to contain the spill, whenever appropriate.
• Additional containment measures include containing/directing the spilled sewage by digging a dike/dam or using sandbags.
• LACPW is only responsible for sewer mainline maintenance and is not responsible for maintenance of any portion of the private property sewer lateral.

The private property sewer lateral extends from the building to the connection at the sewer mainline. If the spill is caused by a sewer lateral, LACPW will check the mainline and ensure this is clear. If this is not, LACPW will proceed to unblock the line to restore flow. If the mainline is clear of any blockages, LACPW will contact the owner of the lateral, who will be responsible to contact a plumber to clear the blockage and restore flow. General precautions for sewage contamination on residential property is detailed below:

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General Precautions for Sewage Contamination of Residential Property If a sewer backup caused flooding in a home, the property owner should:
• Keep people and pets away from the affected area(s).
• Do not attempt to clean it themselves.
• Turn off central heat and air-conditioning systems and prevent flow from reaching floor vents by using towels or blankets as a berm. Remove the vent cover and stuff a towel in the opening to help prevent the flow from entering. • Leave items in the affected area for the experts to handle.

Homeowner Responsibilities:

The homeowner is responsible for clearing any blockage in the home’s plumbing system or private lateral and for any resulting flood damage to the structure. The homeowner is also responsible for damage that happens because a lateral was not properly installed. If the sewage flooding was caused by blockage in the private sewer lateral:
• Call an experienced restoration company for cleanup and removal of affected surfaces.
• Report a claim to the homeowner’s insurance carrier.
• If there was recent plumbing work performed, contact the plumber or contractor.

If the sewage flooding was caused by a blockage in the public sewer main, LACPW may be responsible for the damages. If this occurs, the property owner will file a claim as soon as possible, and LACPWwill respond accordingly. If a blockage occurs in the private sewer lateral, it is the homeowner’s responsibility to clear the blockage. All blockages occurring in the Private Sewer Lateral, are the responsibility of the homeowner.

3.5 Water Quality Sampling and Testing
As part of this effort, a water quality monitoring plan was developed for LACPW as shown in Appendix E. Spill volume estimation can be determined following one of the steps in Appendix F.

3.6 Recovery and Clean Up

3.6.1 Recovery of Spilled Sewage
Use a vacuum truck to vacuum up all spilled sewage and any water used to flush the area.

3.6.2 Clean Up and Disinfection
Implement clean up and disinfection procedures to reduce the potential for human health issues and adverse environmental impacts that are associated with a spill event. The procedures described are for dry weather conditions and should be modified as required for wet weather conditions.

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Hard Surface Areas
Take reasonable steps to contain and vacuum up the wastewater. Collect all signs of sewage solids and sewage-related material either by hand or with the use of rakes and brooms. Wash down the affected area with high pressure water using nozzles on provided on the hydro/combo unit and vacuum the wash water utilizing the hydro/combo unit. Allow area to dry. Repeat the process if additional cleaning is required. Use disinfection.

Landscaped and Unimproved Natural Vegetation
If spill occurs in landscape, either flush the landscape with wash water or take off the top inch or the amount that has been affected and replace the soil. The approach will be determined by the Primary Responder.

Wet Weather Modifications
Omit flushing and sampling during heavy storm events with heavy runoff where flushing is not required and sampling would not provide meaningful results.

3.6.3 Follow Up Activities
If sewage has reached the storm drain system, use the hydro/combo unit to vacuum/pump out the catch basin. Flush the storm drain system with wash water and capture all residual wash water at a point of containment downstream. Stormwater Maintenance Division staff will request the amount/quantity of storm drain to clean/flush.

If LACPW sewer causes an overflow on a private property, a remediation contractor will be called to clean and sanitize the affect areas of the home. If the blockage occurs in the main, LACPW will report this as a spill and restore flow. The Primary Responder will notify the Sewer Operations Superintendent or Supervisor to determine if any immediate steps to rectify the issue are required. Provide the customer with the contact information of LACPW to make a claim, pending investigation.

3.7 Public Notification
If a spill enters the ocean or a waterway requiring posting of signage, contact Los Angeles County Department of Public Health through the County Operator. The Department of Public Health will post and remove signage for waterways and beach closures as required and will not remove the signs until the effects of the spill have been mitigated. A public press release will be made of the temporary closure due to a spill.

3.8 Spill Event Investigation
The objective of the spill event investigation is to determine the cause of the spill and to identify corrective action(s) needed that will reduce or eliminate potential for the spill to recur.

The investigation includes reviewing all relevant data to determine appropriate corrective action(s) for the line segment. The investigation will be conducted by the Supervisorand/or and reported to the Superintendent or his/her designee. The investigation should include:

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• A review of and verification of the information reported on the Spill Report Form (Appendix G);
• A review of available photographs;
• A review of historical maintenance activities;
• Completion of a post-spill CCTV inspection to determine the condition of the line segment immediately upstream and downstream of the spill and review the results.
• A review of the results of a FOG source control investigation, if the spill is FOGrelated; and • Debrief with staff who responded to the spill.

The goal of the spill event investigation is to determine the cause of the spill event and to identify appropriate corrective actions. LACPW’s standard practice is, at a minimum, to perform a CCTV inspection of the pipe containing the blockage that caused the spill event along with the pipes immediately upstream and downstream to find a resolution on how to decrease the chance this will happen again.

LACPW has a book of sewer cleaning periodics for pipe segments that are cleaned more frequently. These are put on a more regular cleaning schedule to reduce the potential of another spill if one had occurred previously.

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4 Spill Documentation and Reporting

4.1 Spill Categories
The California State Water Resources Control Board (SRWCB) has established guidelines for classifying and reporting sewer spills. Reporting and documentation requirements vary based on the type of spill.

Currently, there are four categories of spills as defined by the SWRCB and shown in Table 4-11.

Table 4-1: Spill Categories and Definitions

CATEGORIES

DEFINITIONS
[see Page A-4 in Attachment A of Order 2022-0103-DWQ, for Spill definition] CATEGORY 1 A Category 1 spill is a spill of any volume of sewage from or caused by a sanitary sewer system regulated under the General Order that results in a discharge to:
• A surface water, including a surface water body that contains no flow or volume of water; or
• A drainage conveyance system that discharges to surface waters when the sewage is not fully captured and returned to the sanitary sewer system or disposed of properly.

Any spill volume not recovered from a drainage conveyance system is considered a discharge to surface water, unless the drainage conveyance system discharges to a dedicated stormwater infiltration basin or facility.

A spill from a Districts-owned and/or operated lateral that discharges to a surface water is a Category 1 spill; the Districts shall report all Category 1 spills per section

3.1 of Attachment E1 (Notification, Monitoring, Reporting and Recordkeeping Requirements) of the General Order.

CATEGORY 2 A Category 2 spill is a spill of 1,000 gallons or greater, from or caused by a sanitary sewer system regulated under the General Order that does not discharge to a surface water.

A spill of 1,000 gallons or greater that spills out of a lateral and is caused by a failure or blockage in the sanitary sewer system, is a Category 2 spill.

CATEGORY 3 A Category 3 spill is a spill of equal to or greater than 50 gallons and less than 1,000 gallons, from or caused by a sanitary sewer system regulated under this General Order that does not discharge to a surface water.

A spill of equal to or greater than 50 gallons and less than 1,000 gallons, that spills out of a lateral and is caused by a failure or blockage in the sanitary sewer system is a Category 3 spill.

CATEGORY 4 A Category 4 spill is a spill of less than 50 gallons, from or caused by a sanitary sewer system regulated under this General Order that does not discharge to a surface water.

A spill of less than 50 gallons that spills out of a lateral and is caused by a failure or blockage in the sanitary sewer system is a Category 4 spill.

4.2 Internal Spill Reporting Procedures
1 State Water Resources Control Board General Order for Sanitary Sewer Systems, Order WQ 2022- 0103-DWQ
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The Primary Responder will fill out the Service Request Form (Appendix C) and the Spill Report Form (Appendix G) and turn it in to the Superintendent or Supervisor. The Spill Report Form includes field for documenting spill volume information. Use Appendix F to estimate and record the duration and volume of the spill.

The Superintendent or Supervisor reviews the completed Spill Report Form and provides the completed form to the CIWQS Data Submitter for entry into the State Water Resources Control Board (SWRCB) California Integrated Water Quality System (CIWQS) Online Spill Reporting System. The Legally Responsible Official certifies the Spill Report in CIWQS.

4.3 External Spill Reporting Procedures 2
CIWQS is used for reporting spill information to the SWRCB whenever possible. A summary of external reporting and notification requirements and contact information is included as Table 4-2.

4.3.1 Category 1 Spills
Draft Spill Report for Category 1 Spills
Within three (3) business days of the Enrollee’s knowledge of a Category 1 spill, the Enrollee shall submit a Draft Spill Report to the online CIWQS Sanitary Sewer System Database. The Draft Spill Report must, at minimum, include the following items:

1. Contact information: Name and telephone number of Enrollee contact person to respond to spill-specific questions;

2. Spill location name;

3. Date and time the Enrollee was notified of, or self-discovered, the spill;

4. Operator arrival time;

5. Estimated spill start date and time;

6. Date and time the Enrollee notified the California Office of Emergency Services, and the assigned control number;

7. Description, photographs, and GPS coordinates of the system location where the spill originated;
o If a single spill event results in multiple appearance points, provide GPS coordinates for the appearance point closest to the failure point and describe each additional appearance point in the spill appearance point explanation field;

8. Estimated total spill volume exiting the system;

9. Description and photographs of the extent of the spill and spill boundaries; 2 State Water Resources Control Board Monitoring and Reporting Program No. 2006·0003-DWQ (as revised by Order No. WQ 2008-0002.EXEC) Statewide General Waste Discharge Requirements for Sanitary Sewer Systems
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10. Did the spill reach a drainage conveyance system? If Yes:
o Description of the drainage conveyance system transporting the spill; o Photographs of the drainage conveyance system entry location(s); o Estimated spill volume fully recovered from the drainage conveyance system; o Estimated spill volume remaining within the drainage conveyance system;

11. Description and photographs of all discharge point(s) into the surface water;

12. Estimated spill volume that discharged to surface waters; and

13. Estimated total spill volume recovered
Certified Spill Report for Category 1 Spills
Within 15 calendar days of the spill end date, the Enrollee shall submit a Certified Spill Report for Category 1 spills, to the online CIWQS Sanitary Sewer System Database. Upon completion of the Certified Spill Report, the online CIWQS Sanitary Sewer System Database will issue a final spill event identification number. The Certified Spill Report must, at minimum, include the following mandatory information in addition to all information in the Draft Spill Report per the previous section (Draft Spill Report for Category 1 Spills) above:

1. Description of the spill event destination(s), including GPS coordinates if available, that represent the full spread and reach of the spill;

2. Spill end date and time;

3. Description of how the spill volume estimations were calculated, including at a minimum:
o The methodology, assumptions and type of data relied upon, such as supervisory control and data acquisition (SCADA) records, flow monitoring or other telemetry information used to estimate the volume of the spill discharged, and the volume of the spill recovered (if any volume of the spill was recovered), and o The methodology(ies), assumptions and type of data relied upon for estimations of the spill start time and the spill end time;

4. Spill cause(s) (for example, root intrusion, grease deposition, etc.);

5. System failure location (for example, main, lateral, pump station, etc.);

6. Description of the pipe material, and estimated age of the pipe material, at the failure Location;

7. Description of the impact of the spill;

8. Whether or not the spill was associated with a storm event;

9. Description of spill response activities including description of immediate spill containment and cleanup efforts;
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10. Description of spill corrective action, including steps planned or taken to reduce, eliminate, and prevent reoccurrence of the spill, and a schedule of major milestones for those steps;

11. Spill response completion date;

12. Detailed narrative of investigation and investigation findings of cause of spill;

13. Reasons for an ongoing investigation (as applicable) and the expected date of completion;

14. Name and type of receiving water body(s);

15. Description of the water body(s), including but not limited to:
o Observed impacts on aquatic life,
o Public closure, restricted public access, temporary restricted use, and/or posted o health warnings due to spill,
o Responsible entity for closing/restricting use of water body, and o Number of days closed/restricted as a result of the spill.

16. Whether or not the spill was located within 1,000 feet of a municipal surface water intake; and

17. If water quality samples were collected, identify sample locations and the parameters the water quality samples were analyzed for. If no samples were taken, Not Applicable shall be selected.

Spill Technical Report for Individual Category 1 Spill in which 50,000 Gallons or Greater Discharged into a Surface Water
For any spill in which 50,000 gallons or greater discharged into a surface water, within 45 calendar days of the spill end date, the Enrollee shall submit a Spill Technical Report to the online CIWQS Sanitary Sewer System Database. The Spill Technical Report, at minimum, must include the following information:

1. Spill causes and circumstances, including at minimum:
o Complete and detailed explanation of how and when the spill was discovered; o Photographs illustrating the spill origin, the extent and reach of the spill, drainage conveyance system entrance and exit, receiving water, and post-cleanup site conditions;
o Diagram showing the spill failure point, appearance point(s), the spill flow path, and ultimate destinations;
o Detailed description of the methodology employed, and available data used to calculate the discharge volume and, if applicable, the recovered spill volume; o Detailed description of the spill cause(s);
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o Description of the pipe material, and estimated age of the pipe material, at the failure location;
o Description of the impact of the spill;
o Copy of original field crew records used to document the spill; and o Historical maintenance records for the failure location.

2. Enrollee’s response to the spill:
o Chronological narrative description of all actions taken by the Enrollee to terminate the spill;
o Explanation of how the Sewer System Management Plan Spill Emergency Response Plan was implemented to respond to and mitigate the spill; and o Final corrective action(s) completed and a schedule for planned corrective actions, including:
• Local regulatory enforcement action taken against an illicit discharge in response to this spill, as applicable,
• Identifiable system modifications, and operation and maintenance program modifications needed to prevent repeated spill occurrences, and • Necessary modifications to the Emergency Spill Response Plan to incorporate lessons learned in responding to and mitigating the spill.

3. Water Quality Monitoring, including at minimum:
o Description of all water quality sampling activities conducted; o List of pollutant and parameters monitored, sampled and analyzed; as required in section 2.3 (Receiving Water Monitoring) of the General Order; o Laboratory results, including laboratory reports;
o Detailed location map illustrating all water quality sampling points; and o Other regulatory agencies receiving sample results (if applicable).

4. Evaluation of spill impact(s), including a description of short-term and long-term impact(s) to beneficial uses of the surface water.

Amended Certified Spill Reports for Individual Category 1 Spills The Enrollee shall update or add additional information to a Certified Spill Report within 90 calendar days of the spill end date by amending the report or by adding an attachment to the Spill Report in the online CIWQS Sanitary Sewer System Database. The Enrollee shall certify the amended report.

After 90 calendar days, the Enrollee shall contact the State Water Board at [email protected] to request to amend a Spill Report. The Legally Responsible Official shall submit justification for why the additional information was not reported within the Amended Spill Report due date.

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4.3.2 Category 2 Spills
Draft Spill Report for Category 2 Spills
Within three (3) business days of the Enrollee’s knowledge of a Category 2 spill, the Enrollee shall submit a Draft Spill Report to the online CIWQS Sanitary Sewer System Database. The Draft Spill Report must, at minimum, include the following items:

1. Contact information: Name and telephone number of Enrollee contact person to respond to spill-specific questions;

2. Spill location name;

3. Date and time the Enrollee was notified of, or self-discovered, the spill;

4. Operator arrival time;

5. Estimated spill start date and time;

6. Date and time the Enrollee notified the California Office of Emergency Services, and the assigned control number;

8. Estimated total spill volume exiting the system;

9. Description and photographs of the extent of the spill and spill boundaries;

11. Estimated total spill volume recovered.

Certified Spill Report for Category 2 Spills
Within 15 calendar days of the spill end date, the Enrollee shall submit a Certified Spill Report for the Category 2 spill, to the online CIWQS Sanitary Sewer System Database (https://ciwqs.waterboards.ca.gov). Upon completion of the Certified Spill Report, the online CIWQS Sanitary Sewer System Database will issue a final spill event identification number.

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The Certified Spill Report must, at minimum, include the following mandatory information in addition to all information in the Draft Spill Report per the previous section (Draft Spill Report for Category 2 Spills) above:

1. Description of the spill event destination(s), including GPS coordinates if available, that represent the full spread and reach of the spill;

2. Spill end date and time;

4. Spill cause(s) (for example, root intrusion, grease deposition, etc.);

5. System failure location (for example, main, pump station, etc.);

6. Description of the pipe/infrastructure material, and estimated age of the pipe material, at the failure location;

7. Description of the impact of the spill;

8. Whether or not the spill was associated with a storm event;

9. Description of spill response activities including description of immediate spill containment and cleanup efforts;

10. Description of spill corrective action, including steps planned or taken to reduce, eliminate, and prevent reoccurrence of the spill, and a schedule of major milestones for those steps;

11. Spill response completion date;

12. Detailed narrative of investigation and investigation findings of cause of spill;

13. Reasons for an ongoing investigation (as applicable) and the expected date of completion; and

14. Whether or not the spill was located within 1,000 feet of a municipal surface water intake.

Amended Certified Spill Reports for Individual Category 2 Spills The Enrollee shall update or add additional information to a Certified Spill Report within 90 calendar days of the spill end date by amending the report or by adding an attachment to the Spill Report in the online CIWQS Sanitary Sewer System Database.

The Enrollee shall certify the amended report. After 90 calendar days, the Enrollee shall contact the State Water Board at [email protected] to request to Spill Emergency Response Plan
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amend a Spill Report. The Legally Responsible Official shall submit justification for why the additional information was not reported within the Amended Spill Report due date.

4.3.3 Category 3 Spills
Monthly Certified Spill Reporting for Category 3 Spills The Enrollee shall report and certify all Category 3 spills to the online CIWQS Sanitary Sewer System Database within 30 calendar days after the end of the month in which the spills occurred. After the Legally Responsible Official certifies the spills, the online CIWQS Sanitary Sewer System Database will issue a spill event identification number for each spill. The monthly reporting of all Category 3 spills must include the following items for each spill:

1. Contact information: Name and telephone number of Enrollee contact person to respond to spill-specific questions;

2. Spill location name;

3. Date and time the Enrollee was notified of, or self-discovered, the spill;

4. Operator arrival time;

5. Estimated spill start date and time;

6. Description, photographs, and GPS coordinates where the spill originated:
o If a single spill event results in multiple appearance points, provide GPS coordinates for the appearance point closest to the failure point and describe each additional appearance point in the spill appearance point explanation field;

7. Estimated total spill volume exiting the system;

8. Description and photographs of the extent of the spill and spill boundaries;

9. Did the spill reach a drainage conveyance system? If Yes:
o Description of the drainage conveyance system transporting the spill; o Photographs of the drainage conveyance system entry locations(s); o Estimated spill volume fully recovered from the drainage conveyance system; and o Estimated spill volume discharged to a groundwater infiltration basis or facility, if applicable.

10. Estimated total spill volume recovered;

11. Description of the spill event destination(s), including GPS coordinates, if available, that represent the full spread and reaches of the spill;

12. Spill end date and time;

13. Description of how the spill volume estimations were calculated, including, at minimum:
o The methodology and type of data relied upon, including supervisory control and data acquisition (SCADA) records, flow monitoring or other telemetry information Spill Emergency Response Plan
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used to estimate the volume of the spill discharged, and the volume of the spill recovered (if any volume of the spill was recovered), and o The methodology and type of data relied upon to estimate the spill start time, ongoing spill rate at time of arrival (if applicable), and the spill end time;

14. Spill cause(s) (for example, root intrusion, grease deposition, etc.);

15. System failure location (for example, main, pump station, etc.);

16. Description of the pipe/infrastructure material, and estimated age of the pipe/infrastructure material, at the failure location;

17. Description of the impact of the spill;

18. Whether or not the spill was associated with a storm event;

19. Description of spill response activities including description of immediate spill containment and cleanup efforts;

20. Description of spill corrective actions, including steps planned or taken to reduce, eliminate, and prevent reoccurrence of the spill, and a schedule of the major milestones for those steps; including, at minimum:
o Local regulatory enforcement action taken against an illicit discharge in response to this spill, as applicable, and
o Identifiable system modifications, and operation and maintenance program modifications needed to prevent repeated spill occurrences at the same spill event location, including:
• Adjusted schedule/method of preventive maintenance,
• Planned rehabilitation or replacement of sanitary sewer asset, • Inspected, repaired asset(s), or replaced defective asset(s), • Capital improvements,
• Documentation verifying immediately implemented system modifications and operating/maintenance modifications,
• Description of spill response activities,
• Spill response completion date, and
• Ongoing investigation efforts, and expected completion date of investigation to determine the full cause of spill;

21. Detailed narrative of investigation and investigation findings of cause of spill.

Amended Certified Spill Reports for Category 3 Spills
Within 90 calendar days of the certified Spill Report due date, the Enrollee may update or add additional information to a certified Spill Report by amending the report or by adding an attachment to the Spill Report in the online CIWQS Sanitary Sewer System Database.

The Enrollee shall certify the amended report.

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After 90 calendar days, the Legally Responsible Official shall contact the State Water Board at [email protected] to request to amend a certified Spill Report.

The Legally Responsible Official shall submit justification for why the additional information was not reported within the 90-day timeframe for amending the certified Spill Report, as provided above.

4.3.4 Category 4 Spills
Monthly Certified Spill Reporting for Category 4 Spills The Enrollee shall report and certify the estimated total spill volume exiting the sanitary sewer system, and the total number of all Category 4 spills to the online CIWQS Sanitary Sewer System Database, within 30 calendar days after the end of the month in which the spills occurred.

Annual Certified Spill Reporting of Category 4 and/or Lateral Spills For all Category 4 spills and spills from its owned and/or operated laterals that are caused by a failure or blockage in the lateral and that do not discharge to a surface water, the Enrollee shall:
o The Enrollee shall provide records upon request by State Water Board or Regional Water Board staff.
o Annually upload and certify a report, in an appropriate digital format, of all recordkeeping of spills to the online CIWQS Sanitary Sewer System Database, by February 1st after the end of the calendar year in which the spills occurred.

A spill from an Enrollee-owned and/or operated lateral that discharges to a surface water is a Category 1 spill; the Enrollee shall report all Category 1 spills per section 3.1 of Attachment E1 (Notification, Monitoring, Reporting and Recordkeeping Requirements) of the General Order.

4.3.5 Monthly Certification of “No-Spills” or “Category 4 Spills” and/or “Non-Category 1 Lateral Spills”
If either (1) no spills occur during a calendar month or (2) only Category 4, occur during a calendar month, the Enrollee shall certify, within 30 calendar days after the end of each calendar month, either a “No-Spill” certification statement, or a “Category 4 Spills” and/or “Non-Category 1 Lateral Spills” certification statement, in the online CIWQS Sanitary Sewer System Database, certifying that there were either no spills, or Category 4 and/or Non-Category 1 Lateral Spills that will be reported annually for the designated month.

If a spill starts in one calendar month and ends in a subsequent calendar month, and the Enrollee has no further spills of any category, in the subsequent calendar month, the Enrollee shall certify “no-spills” for the subsequent calendar month. If the Enrollee has no spills from its systems during a calendar month, but the Enrollee voluntarily reported a spill from a private lateral or a private system, the Enrollee shall certify “no-spills” for that calendar month.

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Table 4-2. External Reporting and Notification Checklist and Contact Information Reporting & Certification Checklist
Category 1 Spill that reach Drainage Channel or Surface Waters 2-Hour Notification:

Regulatory Agencies (Cal OES) must be notified within two hours of ANY discharge of sewage (untreated/partially treated) to a surface water or drainage channel (that is not fully captured and returned to sewer).

Within 3 Business Days of Notification:

Enter draft report in CIWQS.

Within 15 Calendar Days of Conclusion of Response/Remediation:

Must be certified by LRO using CIWQS.

Within 45 Calendar Days of Conclusion of Response/Remediation:

Submit Spill Technical Report for spills 50,000 gallons or greater Within 90 Calendar Days of Conclusion of Response/Remediation:

Submit Amended Certified Spill Report (If necessary)
Category 2 Spill (>1,000, Did not reach Surface Waters) 2-Hour Notification:

Regulatory Agencies (Cal OES) must be notified within two hours of ANY discharge of sewage (untreated/partially treated) 1,000 gallons or greater.

Within 3 Business Days of Notification:

Enter draft report in CIWQS.

Within 15 Calendar Days of Conclusion of Response/Remediation:

Must be certified by LRO using CIWQS.

Within 90 Calendar Days of Conclusion of Response/Remediation:

Submit Amended Certified Spill Report (If necessary)
Category 3 Spill
Within 30 days past the end of the month in which the spill occurred Submit certified report.

Within 90 Calendar Days of Conclusion of Response/Remediation:

Submit Amended Certified Spill Report (If necessary)
Category 4 Spill
Within 30 days past the end of the month in which the spill occurred Submit certified report.

By February 1st after the end of the calendar year in which the spill occurred Submit certified report, in acceptable electronic format, of all recordkeeping of spills.

No-Spill or Category 4 Spills
Within 30 days past the end of the month
Certify either a “No-Spill” certification statement, or a “Category 4 Spills” certification statement. The LRO or designee must report using CIWQS.

Private Lateral Sewage Discharge (Reporting is Optional) Within 30 days past the end of the month in which the spill occurred If reporting, enter into CIWQS as a “Private Lateral Sewage Discharge” and identify responsible party, if known (not LACPW). Must be certified by LRO using CIWQS.

Two-Hour Notification

1. California Office of Emergency Service
Phone: (800) 852-7550 Make sure you ask for an “OES Control Number” (for RWQCB)

2. RWQCB (Region 4 – Los Angeles)
Contact Los Angeles Regional Water Quality Control Board for spills over 50,000 gallons to surface waters to determine if RWQCB has additional direction for water quality sampling.

RWQCB, Region 4
Region 4, Main Number (213) 576-6600
Region 4, Fax (213) 576-6640
Region 4: [email protected]
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4.4 Internal Spill Documentation

4.4.1 Category 1, 2, and 3 Spills
The SMD Crew will complete the Spill Report Form (Appendix G) and provide a draft report to the Superintendent or Supervisor or his/her designee. The Superintendent/Supervisor will assemble all available documentation and review, complete, and submit an internal report of all available information to appropriate SMD staff via e-mail.

The CIWQS Data Submitter will prepare a file for each individual spill. The electronic file should include the following information, as available:
• Initial service call information and Service Request Form (Dispatch has an access database of the history of all calls made to this office) (Appendix C); • Spill Report Form (Appendix G);
• Online Spill Reporting System form;
• Volume estimate (Appendix F);
• Map showing the spill location;
• Photographs of spill location, if available;
• CCTV inspection data, if applicable;
• Water quality sampling and test results, if applicable (Appendix E); • Spill event investigation results; and
• Any other forms related to the Spill.
• Hazardous Waste Disposal Contractor delivers two items to LACPW o Non-hazardous waste manifest and personnel work ticket. • LACPW has added additional fields along with the standard CIWQS data fields for internal record keeping.

4.4.2 Category 4 Spills
For all Category 4 spills that are caused by a failure or blockage that do not discharge to a surface water, the Enrollee shall:

Maintain records that will be provided upon request by State Water Board or Regional Water Board staff;
Annually upload and certify a report, in an appropriate digital format, of all recordkeeping of spills to the online CIWQS Sanitary Sewer System Database, by February 1st after the end of the calendar year in which the spills occurred.

An Enrollee will maintain the following records for each individual Category 4 spill:

1. Contact information: Name and telephone number of Enrollee contact person to respond to spill-specific questions;
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2. Spill location name;

3. Description and GPS coordinates for the system location where the spill originated;

4. Did the spill reach a drainage conveyance system? If Yes:
• Description of drainage conveyance system location,
• Estimated spill volume fully recovered within the drainage conveyance system, and
• Estimated spill volume remaining within the drainage conveyance system;

5. Estimated total spill volume exiting the sanitary sewer system;

6. Spill date and start time;

7. Spill cause(s) (for example, root intrusion, grease deposition, etc.);

8. System failure location (for example, main, pump station, etc.);

9. Description of spill response activities including description of immediate spill containment and cleanup efforts;

10. Description of how the volume estimation was calculated, including, at minimum:
• The methodology and type of data relied upon, including supervisory control and data acquisition (SCADA) records, flow monitoring or other telemetry information used to estimate the volume of the spill discharged, and the volume of the spill recovered (if any volume of the spill was recovered), and • The methodology and type of data relied upon to estimate the spill start time, on-going spill rate at time of arrival (if applicable), and the spill end time;

11. Description of implemented system modifications and operating/maintenance modifications

4.4.3 Private Lateral Sewage Discharges
Service rendered are documented and filed in the Supervisor’s office. Communications Dispatch Office also has an extra copy of this. Data from Service Rendered forms is entered in the Access database also commonly referred to as “Work Order System.”

4.5 Spill Record Keeping Requirements 3
The WDR requires that individual spill records be maintained for a minimum of five years from the date of the spill. This period may be extended when requested by a Regional Water Quality Control Board Executive Officer.

All records shall be made available for review upon State or Regional Water Board staff's request.
3 State Water Resources Control Order No. WQ 2022-0103-DWQ Statewide General Waste Discharge Requirements for Sanitary Sewer Systems
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Records shall be retained for all spillss, including but not limited to the following when applicable:
• Records from Hazardous Waste Disposal Contractor;
• GIS map of spill;
• Spill Report Form (Appendix G);
• Services rendered form;
• Email notification or notice of spill;
• CIWQS report once this is input online;
• Notice of certification from CIWQS;
• Copy of Certified Online Spill Reporting System report(s); • Any photos (if taken); and
• Steps that have been and will be taken to prevent the spill from recurring and a schedule to implement those steps.

If water quality samples are required by an environmental or health regulatory agency, or if voluntary monitoring is conducted by the Long Beach Health Department, as a result of any spill, records of monitoring information are kept by the Health Department. This information includes:
• The date, exact place, and time of sampling or measurements; • The individual(s) who performed the sampling or measurements; • The date(s) analyses were performed;
• The individual(s) who performed the analyses;
• The analytical technique or method used; and
• The results of such analyses.

4.5.1 Post Spill Event Debriefing
As soon as possible after major spill events, all of the participants, from the person who received the call to the last person to leave the site, should meet to review the procedures used and to discuss what worked and where improvements could be made in responding to and mitigating future spill events. This usually takes place at the weekly tailgate meetings of field staff.

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5 Spill Emergency Response Plan Update
and Training
This section provides information on the training that is required to support this Spill Emergency Response Plan.

5.1 Annual Review and Update
Annually, the County will review and assess effectiveness of the Spill Emergency Response Plan, and update the Plan as needed.

5.2 Spill Response Training
This section provides information on the training that is required to support this Spill Emergency Response Plan.

5.3 Initial and Annual Refresher Training
The Sewer Operations Superintendent manages field operations and maintenance activities and is responsible for making sure all Sewer employees receive training in emergency response, spill investigation, and spill reporting duties. All new employees receive standard “new hire” training before they are placed in a position where they may have to respond. New hires are evaluated for reaching training milestones with a 6-month training checklist, and all employees attend standard safety meetings or training tailgates on a weekly basis.

The following routine SERP-related training occurs:
• As needed after each spill event and when changes have been made to the report form or reporting requirement changes, the Sewer Operations Superintendent ensures that the necessary LACPW staff receives additional training required by the spill event need or by the changed requirement(s).
• The weekly tailgate meetings in the Sewer Operations meeting area include a discussion of spill events and lessons learned from each event. • Whenever the spill report form or telephone numbers change, updated forms are distributed and posted in the sewer offices.
• Emergency response and investigation is discussed as needed and after each spill event.

5.3.1 Spill Training Record Keeping
The County maintains records for all SERP training provided in support of this plan. The records for all scheduled training courses and for each overflow emergency response Spill Emergency Response Plan
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training event include date, time, place, content, name of trainer(s), and names of attendees.

5.4 Contractors Working on Public Sewer Facilities
All contractors working on County sewer facilities are required to develop a spill response plan, which identifies who the contractor will contact at the County and any actions a contractor is required to perform in the event of a spill.

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Appendix A. Combined Resources Phone List
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Appendix B. Sanitary Sewer Spill Response Flowchart and Notification Table
Public Works Dispatch receives spill
call from Public, Telemetry System or
CSMD City
Normal Business
Hours?
Superintendent or
Supervisor on
Emergency Call List
Standby Crew
responds
Nearest SMD crew
investigates
Spill caused by
SMD asset?
Notify
SWMD Stormwater Maintenance Division2
(213) 974-1234
Upon confirmation
of spill reaching storm drain system
Contain, Correct, Clean
- Contain spill
- Protect nearby storm drains
- Correct issue/Remove blockage
- Clean site and mitigate impacts
Document & Communicate
- Complete Sewer Spill Field Report
- Take Required Photographs
- Communicate resolution to Dispatch
- Sewer Incident Report
1 California Office of Emergency Services (OES)
notified when spill greater than or equal to
1,000 gallons is discharged to or potentially will
be discharged to surface water.
2 Stormwater Maintenance Division (SWMD)
notified when the spill has entered a storm
drain.

NO
YES
NO
CSMD City becomes
aware of spill
Superintendent or
Supervisor
investigates
Local resources
available? End NO
YES
Investigate & Contain
- Investigate
- Contain spill
- Protect nearby storm drains
- Wait for SMD crews to arrive
Stop spill
Notify appropriate agency
Update County Operator
Reporting
- Draft Spill Report
- Cat 1 & 2 spills – within 3 business days
- Certified Spill Report
- Cat 1 & 2 spills – 15 calendar days;
- Cat 3 spills – 30 days after spill month end
- Cat 4 spills (count & volume) – 30 days after spill month end LRO
Internal Communication
- SSO Category
- Address
- Total gallons spilled
- Reasons for spill
Notify
Department of Public Health (DPH)
(213) 974 – 1234
Within 15 minutes of confirmation
Spill with potential to reach storm drain
Notify
Cal OES Office of Emergency Services1
(800) 852-7550
Within 2 hours of knowledge of spill
1,000 gallons or greater with potential to reach
surface waters
Yes
Determine Stormwater System Impacts
- Extent of spill in storm drain system
- Point of discharge to surface waters
- Portions of storm drain system to clean
- Quantity of flush water
SMWD
Determine Health Impacts
- Evaluate potential health impact
- Close impacted beaches
DEH
CMSD City Communication
- SSO Category
- Address
- Total gallons spilled
- Reasons for spill
LRO
Within 15 minutes Within 2 hours Reaches Storm Drain System Contact
Principal Civil Engineer or Senior Civil Engineer
Upon knowledge
of large spill reaching surface waters
Large Spill to Surface Waters
>50k gallons to
surface waters?
LRO
NO End
Water Quality Monitoring
- Contact water quality monitoring contractor
- Provide spill event details
- Oversee water quality monitoring
- Communicate results to stakeholders
Protect Public
- Crowd control
- Traffic Control
Consolidated Sewer Maintenance District
(CSMD) City
Department of Public Health (DPH)
Stormwater Maintenance Division (SWMD)
Sewer Maintenance Division
(SMD) Management
Sewer Maintenance Division
(SMD) Field Crews
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Department Contact Requirements/ Comments
CONTACT WITHIN 15 MINUTES of verification of overflow
Department of Public Health (DPH) (213) 974-1234
(24-hour reporting)
CONTACT WITHIN 2 HOURS of verification of overflow
California Office of Emergency Services
(OES)
(800) 852-7550
(24-hour reporting)
Discharge of sewage spills reaching
or which likely make its way into, any
state waters is 1000 gallons or more.

Stormwater Maintenance Division
(SWMD)
(Notify through Dispatch)
(626) 458-4357 Call Dispatch to request assistance
from SWMD
Environmental Programs Division (EPD)
(Notify through Dispatch) (626) 458-4357
Call Dispatch to request assistance
from EPD if spill is 50,000 gallons or
more that reached surface water.

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Appendix C. Service Request Form
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Appendix D. SWMD Illicit Discharge Emergency
Response Flowchart
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Appendix E. Water Quality Monitoring Program
To comply with of the State Water Resources Control Board Order No. WQ 2022-0103-DWQ, the County has developed and implemented this Water Quality Monitoring Program to assess impacts from spills.

The Water Quality Monitoring Program required by the General Order, shall include, at minimum:

1. Contain protocols for water quality monitoring.

2. Account for spill travel time in the receiving water and scenarios where monitoring may not be possible (e.g. safety, access restrictions, etc.).

3. Require samples and measurements taken for the purpose of monitoring be representative of the monitored activity.

4. Require water quality analyses for ammonia and bacterial indicators to be performed by an accredited and certified laboratory.

5. Require monitoring instruments and devices used to implement the Water Quality Monitoring Program to be properly maintained and calibrated, including any records to document maintenance and calibration, as necessary, to ensure their continued accuracy.

6. Within 48 hours of the staff becoming aware of the spill, require water quality sampling for, at a minimum, the following constituents:
i. Ammonia.
ii. Appropriate Bacterial indicator(s) per the applicable Basin Plan water quality objective or Regional Board direction which may include total and fecal coliform, enterococcus, and e-coli.

Safety
All County staff shall be aware and follow all safety precautions in order to comply with this Water Quality Monitoring Program. Therefore, all staff needs to take into account where monitoring will not be possible which may include:

1. Heavy rain / storm events where access points may be compromised;

2. Flooding around low areas; or

3. Fast moving waters.

County staff should evaluate and keep safety first when encountering these scenarios and are encouraged to exercise proper judgment to limit health risk.

Water Quality Sampling
The LA County currently does not have an ELAP certified Laboratory on site. Hence, a third-party laboratory will perform sampling and testing for the County.

For sewage spills in which an estimated 50,000 gallons or greater are discharged into a surface water, the County Staff shall conduct the following water quality sampling no later than 48 hours after the County staff’s knowledge of a potential discharge to a surface water:

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Collect one water sample, each day of the duration of the spill, at:

1. The DCS-001 location as described in Table 1 below if sewage discharges to a surface water via a drainage conveyance system; and/or

2. Each of the three receiving water sampling locations in Table 1.

Sampling of flow in Drainage Conveyance System (DCS) Prior to Discharge Sampling Location Sampling Location Description
DCS-001
A point in a drainage conveyance system before the drainage conveyance system flow discharges into a receiving water.

Receiving Surface Water Sampling (RSW)1
Sampling Location Sampling Location Description
RSW-001
Point of Discharge
A point in the receiving water where sewage initially enters the receiving water.

RSW-001U:

Upstream of Point of Discharge
A point in the receiving water, upstream of the point of sewage discharge, to capture ambient conditions absent of sewage discharge impacts.

RSW-001D:

Downstream of Point of Discharge
A point in the receiving water, downstream of the point of sewage discharge, where the spill material is fully mixed with the receiving water.
1 The staff must use their best professional judgment to determine the upstream and downstream distances based on receiving water flow, accessibility to upstream/downstream waterbody banks, and size of visible sewage plume.

If the receiving water has no flow during the duration of the spill, the staff must report “No Sampling Due to No Flow” for its receiving water sampling locations.

Collect one water sample, each day of the duration of the spill. Coordinate with the regional water board to determine if additional sampling is required or if the spill is beyond 50,000 gallons.

Samples collected in the field must follow Standard Methods (APHA 2005) collection protocol. Sample must be collected in a watertight, sterile container. Label the sample container with the location of the spill and sample collection time. If the sample cannot be delivered to lab within 1 hour, it must be placed on ice immediately and delivered to the lab within six hours of collection. Any sample not meeting these criteria is “Invalid”. Recommended container is a 4 oz Sterile Sample Container, Fisher Brand Catalog No. 14-375-147 or equivalent.

Sample Delivery after working hours:

The sample collectors will notify lab staff of delivery and deliver samples. These samples must meet the required six-hour delivery (holding) time to be considered valid.

Analysis:

The lab shall analyze the collected receiving water samples for the following constituents:

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1. Ammonia, and

2. Appropriate bacterial indicator(s) per the applicable Basin Plan water quality objectives, including one or more of the following, unless directed otherwise by the Regional Water Board:
i. Total Coliform Bacteria
ii. Fecal Coliform Bacteria
iii. E-coli
iv. Enterococcus
Spill monitoring must be representative of the monitored activity as adhering to the following requirements:

Sufficiently Sensitive Methods
Sample analysis must be conducted according to sufficiently sensitive test methods approved under 40 Code of Federal Regulations Part 136 (eCFR :: 40 CFR 136.6 -- Method modifications and analytical requirements.) for the sample analysis of pollutants. For the purposes of this General Order, a method is sufficiently sensitive when the minimum level of the analytical method approved under 40 Code of Federal Regulations Part 136 is at or below the receiving water pollutant criteria.

Water Quality Sampling Equipment
The following guideline describes the equipment and supplies to be stocked at the third party laboratory and readily available for any water quality sampling event.

1. Ice chest with ice/ blue ice

2. Bleach to sterilize sampling equipment

3. Laminated copy of this form

4. Sterile sample bottles

5. Ammonia sampling bottles

6. Chain of custody forms

7. Ball point pens, sharpies and labeling tapes

8. Sampling pole

9. I don’t think this is necessary

10. Gloves

11. Other PPE (i.e. rubber boots, safety glasses, apron, mask, etc.)

12. Reporting sheets
Laboratory staff should perform quarterly checks for adequate spill kits at all times.

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Water Quality Sampling Procedure
Call Laboratory Supervisor to notify them about the sampling event.

1. Disposable un-powdered gloves are recommended for sample collection to protect you and to assure the integrity of the samples. Disposable gloves should be changed at each sampling location.

2. Determine the correct location for sample collection.

3. Samples for bacteria/coliform analysis shall be collected in a sterile, container. Sampler will submerge container, midstream of the effluent, point top into the effluent, remove cap and fill container to fill line, or as close as possible in an effort to allow air space in the container for mixing. Label sample bottle with:
i. sampling site
ii. date and time sampled
iii. Initials

4. Keep the samples packed on blue ice or equivalent for delivery to the laboratory.

5. Deliver all samples to the laboratory within 6 hrs.

6. Fill out Chain of Custody (COC) with the same information to match the sample bottles.

Complete the COC as thoroughly as possible with you and your supervisor’s names and phone numbers. Be sure to relinquish the COC with your signature, printed name, date, and time.

Water Quality Analysis-Protocols
Typical monitoring parameters may include Ammonia, total and fecal coliform bacteria, or other analyses as required.

Laboratory:

All samples will be sent to the Laboratory. The laboratory methods will be performed according to the laboratory’s Standard Operation Procedures (SOPs).

Maintenance and Calibration of Monitoring Instruments and Devices:

In order to be accredited and maintain their certification, the Laboratory identified will follow stringent quality assurance and quality control protocols that includes regular monitoring, calibration and maintenance of their equipment. The frequency of monitoring and calibration varies based on equipment type and method requirements. Records of the calibration receipts are kept on file and readily available up on request.

Reporting Requirements
The Laboratory Supervisor will provide reporting results to the LRO. The LRO is responsible for submitting water quality monitoring information with the certified respective spill report on CIWQS database within 15 calendar days of the spill end date.

The LRO is also responsible for submitting information related to the Technical Report in CIWQS database, which must be completed within 45 calendar days of the spill end date. The Spill Technical Report must include the following water quality monitoring information:

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1. Description of all water quality sampling activities.

2. Analytical results and evaluation of the results; and

3. Detailed location maps and photos depicting all water sampling points.

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Appendix F. LACPW Methods for Estimating Spill
Volume
A variety of approaches exist for estimating the volume of a sanitary sewer spill. This appendix documents the three methods that are most often employed. The person preparing the estimate should use the method most appropriate to the sewer spill in question and use the best information available.

METHOD 1 EYEBALL ESTIMATE
The volume of small spills can be estimated using an “eyeball estimate”. To use this method, imagine the amount of water that would spill from a bucket or a barrel. A bucket contains 5 gallons, and a barrel contains 50 gallons. If the spill is larger than 50 gallons, try to break the standing water into barrels and then multiply by 50 gallons. This method is useful for contained spills up to approximately 200 gallons.

METHOD 2 MEASURED VOLUME
The volume of most small spills that have been contained can be estimated using this method. The shape, dimensions, and the depth of the contained wastewater are needed. The shape and dimensions are used to calculate the area of the spills and the depth is used to calculate the volume.

Common Shapes and Dimensions
Step 1 Sketch the shape of the contained sewage (see figure above).

Step 2 Measure or pace off the dimensions.

Step 3 Measure the depth at several locations and select an average.

Step 4 Convert the dimensions, including depth, to feet.

Step 5 Calculate the area in square feet using the following formulas:

Rectangle: Area = length (feet) x width (feet)
Circle: Area = diameter (feet) x diameter (feet) x 0.79 Triangle: Area = base (feet) x height (feet) x 0.5
Step 6 Multiply the area (square feet) times the depth (in feet) to obtain the volume in cubic feet.

Step 7 Multiply the volume in cubic feet by 7.5 to convert it to gallons.

METHOD 3 DURATION AND FLOWRATE
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Calculating the volume of larger spills, where it is difficult or impossible to measure the area and depth, requires a different approach. In this method, separate estimates are made of the duration of the spill and the flowrate. The methods of estimating duration and flowrate are:

Duration: The duration is the elapsed time from the time the spill started to the time that the flow was restored.

Start Time: The start time is sometimes difficult to establish. Here are some approaches:
• Local residents can be used to establish start time. Inquire as to their observations. Spills that
occur in rights-of-way are usually observed and reported promptly. Spills that occur out of the
public view can go on longer. Sometimes observations like odors or sounds (e.g., water running
in a normally dry creek bed) can be used to estimate the start time. • Changes in flow on a downstream flowmeter can be used to establish the start time.

Typically, the daily flow peaks are “cut off” or flattened by the loss of flow. This can be identified by comparing hourly flow data during the spill event with flow data from prior days. • Conditions at the spill site change over time. Initially there will be limited deposits of toilet paper and other sewage solids. After a few days to a week, the sewage solids form a lightcolored residue. After a few weeks to a month, the sewage solids turn dark. The quantity of toilet paper and other materials of sewage origin increase over time. These observations can be used to estimate the start time in the absence of other information. Taking photographs to document the observations can be helpful if questions arise later in the process.
• It is important to remember that spills may not be continuous. Blockages are not usually complete (some flow continues). In this case the spill would occur during the peak flow periods (typically 10:00 to 12:00 and 13:00 to 16:00 each day). Spills that occur due to peak flows in excess of capacity will occur only during, and for a short period after, heavy rainfall.

End Time: The end time is usually much easier to establish. Field crews on-site observe the “blow down” that occurs when the blockage has been removed. The “blow down” can also be observed in downstream flowmeters.

Flow Rate: The flowrate is the average flow that left the wastewater collection system during the time of
the spill.

There are three common ways to estimate the flowrate:
• The San Diego Manhole Flowrate Chart: This chart, included on the following page, shows sewage flowing from manhole covers at a variety of flowrates. The observations of the field crew can be used to select the appropriate flowrate from the chart. If possible, photographs are useful in documenting the basis for the flowrate estimate. • Flowmeter: Changes in flows in downstream flowmeters can be used to estimate the flowrate during the spill.
• Counting Connections: Once the location of the spill is known, the number of upstream connections can be determined from the sewer maps. Multiply the number of connections by 200 to 250 gallons per day per connection or 8 to 10 gallons per hour per connection.

For example:
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= 198 gallons per hour / 60 minutes per hour= 3.3 gallons per minute Spill Volume: Once duration and flowrate have been estimated, the volume of the spill is the product of
the duration in hours or days and the flowrate in gallons per hour or gallons per day.

For example:

Spill start time = 11:00
Spill end time = 14:00
Spill duration = 3 hours

3.3 gallons per minute x 3 hours x 60 minutes per hour= 594 gallons

MANHOLE SPILL FLOWRATE GUIDE
METHOD 4 SINGLE HOME
This estimation method works only for single family residential home spills. It assumes 180 gallons per EDU.

Single-Family Residential homes = One EDU.

When a spill affects landscaped areas, dirt, fields or any surface that tends to absorb the spill, it is often difficult to use the ‘eyeball method’ to make a valid estimation. This method will be useful in these cases.

Once the Spill Start Time and End Time are determined, this method can be applied.

Example:

It is determined that the spill start time was 9:45 AM and the Spill End time was 1:30 (3 hours and 45 minutes)
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From 9:45 to Noon (2 Hrs, 15 Minutes would be calculated using 0.20 GPM (135 minutes x 0.20 =

27.0 gallons).

From Noon to 1:30 PM (1 Hr, 30 Minutes would be calculated using 0.15 GPM (90 minutes x 0.15 =

13.5 gallons).

Total would be 27.0 gallons + 13.5 gallons = 40.5 gallons.

This information alone likely does not tell the whole story. Typically, sewage does not run continuously from a home. If at all possible the resident should be interviewed. Be respectful and ask the resident if they would mind if you asked them a few questions to help determine the volume of the spill.

Example:

Since the time you noticed the spill:

How many people have been home?
Have you done any laundry (30 gallons/load) or ran the dish washer (9 gallons/load) or taken a shower (25 gallons)
Next, put all the information you have gathered:

The size of the stain or water mark on the ground + any tissue, etc.

The answers to the questions about use.

The volume the Spill Estimation Method suggested
Does the information gathered suggest that the volume determined by the estimation tool be adjusted, up, down or the left as is?
Use the following and consider it to be Typical Use for each activity. The amounts listed below consider the water use difference of newer appliances and older appliances. It appears that around 1994 was watershed year. The amounts listed below assume that more appliances are newer than older.

Washing Machine - 30 gallons/load
Dish Washer - 9 gallons/load
Shower (10 Min.) - 25 gallons/shower
180 GPD per Household
(Apply District-wide diurnal flow patterns to estimate usage during each period) Spill Emergency Response Plan
Los Angeles County, Department of Public Works
March 2025 | 41
Spill Start Time __________ - Spill End Time __________ = Spill Duration __________ Spill Duration __________ x Spill Rate __________ x EDUs ______ = Spill Volume __________ This is to be used as a guide for spill estimation for lower lateral blockages. Each six-hour period flow rate assumes a constant flow, which would not be typical in a home or business. In the absence of any other information or in conjunction with other information, this is intended to assist with spill estimations.

Spill Emergency Response Plan
Los Angeles County, Department of Public Works
42 | March 2025
Appendix G. Spill Report Form

LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS

SEWER MAINTENANCE DIVISION
(626) 300-3308
Notification of Sanitary Sewer Spill
NOTIFICATION (to be completed by Crew Leader or Electro-Mechanic responding)

DATE: MMS No.

LOCATION: Address
Nearest Intersection
Map No. City/County
Residential Commercial Industrial
TYPE OF INCIDENT:

Manhole Overflow Pump Station Failure Other

CREW LEADER/ELECTRO-MECHANIC RESPONDING
(Name) (Crew No.)
Time spill start* Verified by (name/contact)
Time crew notified
Time of arrival Call back Tel. No. ( )
Time of spill end*
Time of departure DPW dispatcher notified? Yes No
Start and End Time estimation notes
* If > 2 HRS, PROVIDE COMMENTS

AGENCY NOTIFICATION LIST
CONTACT WITHIN 15 MINUTES of verification of overflow Operator Number Department of Public Health (DPH)
(213) 974-1234
(24-hour reporting)
Initial Follow-up
Date Date
Time Time
CONTACT WITHIN 2 HOURS * Control Number
California Office of Emergency Services (OES)
(800) 852-7550 (24-hour reporting)
Discharge of sewage spills reaching or which likely make its way into, any state waters is 1000 gallons or more.

Date Date
Time Time
Time Time
Stormwater Maintenance Division (SWMD)
(Notify through Dispatch)
Call Dispatch to request assistance from SWMD
(626) 458-4357
Date
Time
Environmental Programs Division (EPD)
(Notify through Dispatch)
Call Dispatch to request assistance from EPD if SSO is
50,000 gallons or more that reached surface water.

Date
Time
I certify that the OES and Los Angeles County of Public Health have been notified as shown above, in accordance with State Water Board Order No. WQ 2022-0103-DWQ
Certified by:

Signed by Supervisor, Crew Leader, Electro-Mechanic, or Treatment Plant Operator Responding Date Poor Telephone Signal Caller Site Location Error Complication in SSO Containment Heavy Traffic Other (Specify)

LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS

SEWER MAINTENANCE DIVISION

SUMMARY REPORT OF MAINLINE SEWER AND PUMP STATION SPILLS PART 2 - DESCRIPTION OF INCIDENT (to be completed by Crew Leader or Electro-Mechanic responding) Photos Attached? Yes No Backflow Notice Attached? Yes No Time dispatch received complaint: Date: Mapsheet No.

Spill appearance point(s) If manhole(s) provide No(s):

Backflow Prevention Device Force Main Gravity Mainline
Inside Building or Structure Lateral Clean Out (Private) Lateral Clean Out (Public) Lower Lateral (Private) Lower Lateral (Public) MH #(s)________ Pump Station Upper Lateral (Private) Upper Lateral (Public) Other sewer system structure (specify) ________________________________________________________ Est. Duration:

Where did failure/blockage occur?
Air Relief Valve (ARV) Blow-Off valve (BOV) Force Main Gravity Mainline Lower Lateral (Public) Manhole Pump Station - Controls
Pump Station – Power Pump Station – Mechanical Siphon
Upper Lateral (Public) Other (Specify):

Total estimated spill volume? How much recovered?
Out of the total estimated spill volume how much reached into…… • Storm Drain that flows to a surface water body? (Do not include water used for clean-up) How much recovered
• Land (includes discharge directly to land, and
discharges to a storm drain system or drainage channel
that flows to a storm water infiltration / retention
structure, field, or other non-surface water location.

Also, includes backups to building structures) How much recovered • Drainage channel that flows to a surface water body How much recovered • Discharge directly to surface water body How much recovered Extent of spill and spill boundaries:

Explanation of volume estimation methods used:

CWEA SSCSC Manhole Gauge Measured Volume Method
Visual or Eyeball Method Inches to Feet Conversion Chart Bucket Method Gutter Flow Method
Tributary Connection Method Vent and Pick Holes Method
Other

LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS

SEWER MAINTENANCE DIVISION

SUMMARY REPORT OF MAINLINE SEWER AND PUMP STATION SPILLS Suspected Cause:

Air Relief Valve (ARV) Failure Damage by Other Party CS Maintenance Caused Spill/Damage
Construction Diversion Failure Debris from Construction Debris from Lateral Debris-General Debris-Rags Debris-Wipes/Non-Disposables Grease Deposition (FOG) Inappropriate Discharge to CS Natural Disaster Operator Error Pipe Structural Problem/Failure Pipe Structural Problem/Failure – Installation
Pump Station Failure – Controls Pump Station Failure – Mechanical Pump Station Failure - Power Rainfall Exceeded Design, I&I Root intrusion Siphon Failure Vandalism
Entry point into drainage system:

Action taken:

Final Spill Destination and Discharge Points:

Beach Building or Structure Drainage Channel Separate Storm Drain Street/Curb and Gutter Surface Water Unpaved Surface
Other
Health warning posted? No Yes
Did the spill cause beach closure or impacts? No Yes
If YES, posting party, impacted
beach(es), duration
Name and type of impacted surface water(s): (If unnamed surface water, document location at point of discharge and document first named downstream tributary):

Observed impacts of spill:

Water quality samples analyzed for:

Water quality sample resulted reported to:

Was this spill associated with a storm event? No Yes,

NAME TITLE DATE

LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS

SEWER MAINTENANCE DIVISION

SUMMARY REPORT OF MAINLINE SEWER AND PUMP STATION SPILLS PART 3 - RECOMMENDATION (to be completed by Supervisor or Electro-Mechanic Working Supv.)

ADDITIONAL COMMENTS
P:\WSPUB\GENERAL\OVERFL OWS.D OC
Revised 6/1/2023
Is this a repeated Incident? Yes No MMS No.

Recommended measures to prevent reoccurrence: Adjusted schedule/method of preventive maintenance Inspect & monitor condition Repair or replace defective assets Illicit discharge enforcement Comments:

Corrective Action PM No.

Is there an ongoing investigation? Yes No
Reason for investigation (if yes)

NAME DATE
Sewer System Management Plan
Sewer Maintenance Districts of Los Angeles County
FINAL – June 30, 2025
Appendix G – IDWP Conditions and Limitations

COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS
INDUSTRIAL WASTE DISPOSAL PERMIT D1
PART a EFFLUENT QUALITY LIMITATIONS - JOINT OUTFALL PERMIT

CONSTITUENTS

PHASE I CONTROL PERIOD

LOCAL EFFLUENT
LIMITS, mg/L*
Arsenic
Cadmium
Chromium (Total
Copper
Cyanide (Total)
Dissolved Sulfides
Lead
Mercury
Nickel
pH Range
Silver
Zinc
Floatable Oil & Grease
Temperature
3 15
10 15
10 0.1
40 2
12 Never lower than 6
5 25
None visible
140°F
Total Identifiable Chlorinated Hydrocarbons** Essentially None
Maximum concentration at any time
Total Identifiable Chlorinated Hydrocarbons (TICH) comprise:

Aldrin and Dieldrin:

Endrin and Toxaphene
Chlordane (cis & trans rans-nonachior, oxychlordane, heptachlor, and heptachlor epoxide
DDT and . derivativesi p,p', and o, p isomers of DDT, DDD, and DDE HCH: sum of c,i, B. i. B somers of hexachlorocyclohexane Polychlorinated blphenyls (PCB's)
D:PERMITFORMS\D11Rev.04\01 '02

Appendix H – Not Used
Reserved for future attachments associated with SSMP Element 8 – System Evaluation, Capacity Assurance and Capital Improvements.

Appendix I – Not Used
Reserved for future attachments associated with SSMP Element 9 – Monitoring, Measurement and Program Modifications.

Appendix J – SSMP Revisions Log
SSMP Revisions Log
ID SSMP Element Recommended Corrective Action or
Opportunity for Improvement Description of Change to SSMP Date Completed 1 D.1 Goal and
Introduction
Revise the action to be attainable (e.g., "recover the
overflow to the extent feasible") Revised language to 8/2/2025 2 D.1 Goal and
Introduction
Update the Plan to include a description of the
services DPW provides and an overview of the
sewer system management program.

Updated the Goal and Introduction
to describe DPW’s system
management program. Added
table summarizing the sewerrelated services that DPW
provides.
8/2/2025
3 D.1 Goal and
Introduction Add narrative to discuss plan updates.

Added table listing General Order
requirements, including Plan
updates.
8/2/2025
4 D.1 Goal and
Introduction
Add schedule of plan audits and updates through
the period between the 2025 SSMP update and the
subsequent 2031 SSMP update. Include milestones
for incorporation of key activities associated with
sewer spill prevention.

Added table summarizing
scheduled dates for audits and
updates. Added table summarizing
milestones with dates.
8/2/2025
5 D.1 Goal and
Introduction
Add sewer system asset overview and service area
information for each sewer collection system.

Added sewer system asset
overview and service area
information for each sewer
collection system. Included system
asset summary per collection
system in Appendix.
8/2/2025
6 D.1 Goal and
Introduction
Add a reference to the up-to-date map of the entire
Los Angeles DPW system in the Introduction
section.

Added links to LA County Sanitary
Sewer Network GIS Map - CSMD
and Operation Maps.
8/2/2025
7 D.2
Organization
Update the Organization section to include the
current Legally Responsible Officials for each of the
collection systems, including names and titles.

Periodically review and revise the Organization
section between Plan updates and track revisions in
the Change Log.

Updated Organization with names
and titles of Primary and
Secondary Legally Responsible
Officials for all the collection
systems.
8/2/2025
8 D.2
Organization
Provide a staff list with correct position names,
phone numbers, and email address for positions
responsible for implementing specific Sewer
System Management Plan elements. The SSMP
does not need to include contact information for the
whole organization.

Added Staff Contact list for SMD in
the Appendix. 8/2/2025
9 D.2
Organization
Add a figure or description that identifies the
specific measures of the SSMP and the names or
positions of the individuals responsible for those
measures.

Added table listing positions
responsible for each SSMP
measure.
8/2/2025
10 D.2
Organization
Update organization chart to include all lines of
authority for positions responsible for specific
elements of the Plan. Consider placing a tag on the
organization chart showing which positions are
serving as an LRO.

Updated organization chart with all
divisions responsible for specific
elements of the Plan. Included a
table with names and positions
responsible for each SSMP
element in Appendix.
8/2/2025
11 D.3 Legal
Authorities
Update SSMP to include a copy of the LACO
Plumbing Codes, specifically Title 20.

Updated Legal Authority with link to
the Los Angeles County Plumbing
Code.
8/2/2025
SSMP Revisions Log
ID SSMP Element Recommended Corrective Action or
Opportunity for Improvement Description of Change to SSMP Date Completed 12 D.3 Legal
Authorities
Update the Legal Authority summaries with the
relevant ordinances required by the reissued Order.

Added table listing the relevant
ordinances for each General Order
requirement.
8/2/2025
13 D.3 Legal
Authorities
Update the Plan to document the County’s legal
authorities related to collaborating with storm sewer
agencies.

Updated the Plan to document the
County’s legal authorities related to
collaborating with storm sewer
agencies.
8/2/2025
14 D.3 Legal
Authorities
Update title of Section 3.1.3 to “Legal Authority to
Obtain Easement Accessibility Agreements for
Locations Requiring Sewer System Operations And
Maintenance”.

Added Legal Authority to Obtain
Easement Accessibility
Agreements for Locations
Requiring Sewer System
Operations And Maintenance to
summary table.
8/2/2025
15 D.4 Operations
and
Maintenance
Update the Plan with procedures to provide to the
State and Regional Water Board staff access to the
sanitary sewer system GIS map. Consider
referencing a link to sewer network map in LACPW
website
(https://dpw.lacounty.gov/smd/sewernetwork/) and
updating map to include all features required by the
general order.

Added link to DPW GIS sewer
network map. 8/2/2025
16 D.4 Operations
and
Maintenance
Update the Plan to provide up-to-date inspection
and maintenance frequencies and describe the
procedures/steps for the scheduling system
activities.

Updated Operations and
Maintenance with inspection and
maintenance frequencies and
described scheduling of activities.
8/2/2025
17 D.4 Operations
and
Maintenance
Update Plan to include high frequency inspections
and maintenance under the operation and
maintenance program, including description of the
procedures/steps for the scheduling system.

Updated Operations and
Maintenance to include periodic
(high frequency) inspections and
maintenance.
8/2/2025
18 D.4 Operations
and
Maintenance
Update the Plan to document training provided to
comply with the Order.

Added table summarizing trainings,
including the training of operations
and maintenance staff and
contractors on the requirements of
the General Order
8/2/2025
19 D.4 Operations
and
Maintenance
Update the SSMP to document the training of
operations and maintenance staff and contractors
on the requirements of the General Order.

Added table summarizing trainings,
including the training of operations
and maintenance staff and
contractors on the requirements of
the General Order
8/2/2025
20 D.4 Operations
and
Maintenance
Update the SSMP to document training provided to
operations and maintenance staff on spill volume
estimation methods.

Added table summarizing trainings,
including the training provided to
operations and maintenance staff
on spill volume estimation
methods.
8/2/2025
21 D.4 Operations
and
Maintenance
Update SSMP to document training on electronic
CIWQS reporting procedures for all staff entering
data into CIWQS (Legally Responsible Officials and
Data Submitters).

Added table summarizing trainings,
including training on electronic
CIWQS reporting procedures for all
staff entering data into CIWQS
(Legally Responsible Officials and
Data Submitters).
8/2/2025
22 D.6 Spill
Emergency
Response Plan
Update the communication procedures in SERP to
include the notification of City Staff, including
Superintendent and Manager, and other potentially
affected entities.

SERP includes communication
procedures for notification of City
Staff, including Superintendent and
Manager, and other potentially
8/2/2025
SSMP Revisions Log
ID SSMP Element Recommended Corrective Action or
Opportunity for Improvement Description of Change to SSMP Date Completed affected entities.
23 D.6 Spill
Emergency
Response Plan
Update the SERP to include training requirements
and procedures for LACPW staff on SERP
protocols, as well as training requirements for
contractors to ensure their staff are properly
trained.

SERP includes training
requirements and procedures for
LACPW staff on SERP protocols,
as well as training requirements for
contractors to ensure their staff are
properly trained.
8/2/2025
24 D.6 Spill
Emergency
Response Plan
Update to document standard protocols for
emergency system operations, traffic and crowd
control and other necessary response activities.

SERP includes standard protocols
for emergency system operations,
traffic and crowd control and other
necessary response activities.
8/2/2025
25 D.6 Spill
Emergency
Response Plan
Update to document standard containment
protocols and containment equipment available to
crews. Procedure should contain guidance for the
decision on when to focus initial effort on
containment versus blockage removal.

SERP includes standard
containment protocols and
containment equipment available
to crews.
8/2/2025
26 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update the Plan to describe and reference the FOG
program as detailed on Industrial Waste page on
the LACPW website, as applicable.

Updated the Plan to describe and
reference the FOG program as
detailed on Industrial Waste page
on the LACPW website, as
applicable.
8/2/2025
27 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update the Plan to provide procedures to determine
the need for a sewer blockage control program.

Provide justification in Plan if it is determined that
rags and debris is not needed within the program.

Updated the Plan to provide
procedures to determine the need
for a sewer blockage control
program.
8/2/2025
28 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update the Plan to provide an updated description
of LACPW’s implementation and scheduling of
public outreach initiatives.

Updated the Plan to provide an
updated description of LACPW’s
implementation and scheduling of
public outreach initiatives.
8/2/2025
29 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update the Plan to provide a description of the
planning and scheduling involved in addressing the
disposal of pipe-blocking substances generated
within the sanitary service area, including a list of
acceptable disposal facilities.

Updated the Plan to provide a
description of the planning and
scheduling involved in addressing
the disposal of pipe-blocking
substances generated within the
sanitary service area, including a
list of acceptable disposal facilities.
8/2/2025
30 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update the Plan to provide maintenance
requirements, best management practices
requirements, and recordkeeping and reporting
requirements.

Updated the Plan to provide
maintenance requirements, best
management practices
requirements, and recordkeeping
and reporting requirements.
8/2/2025
31 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update Plan to include a procedure for the
implementation of FOG source control measures for
the various FOG sources.

Updated Plan to include a
procedure for the implementation
of FOG source control measures
for the various FOG sources.
8/2/2025
SSMP Revisions Log
ID SSMP Element Recommended Corrective Action or
Opportunity for Improvement Description of Change to SSMP Date Completed 32 D.7 Sewer Pipe
Blockage
Control Program
Plan
Update Plan to identify sections of the sewer
collection system that are subject to FOG
blockages, including their location and cleaning
schedule for each section. It should describe
procedures used to identify these sites and how
these sections are being tracked.

Updated Plan to identify sections of
the sewer collection system that
are subject to FOG blockages,
including their location and
cleaning schedule for each section.

It should describe procedures used
to identify these sites and how
these sections are being tracked.
8/2/2025
33 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update Plan to describe the prioritization of
condition assessments on areas that: (1) hold a
high level of environmental consequences if
vulnerable to collapse, failure, blockage, capacity
issues, or other system deficiencies; (2) are located
in or within the vicinity of surface waters, steep
terrain, high groundwater elevations, and (3)
environmentally sensitive areas; and are within the
vicinity of a receiving water with a bacterial-related
impairment on the most current Clean Water Act
section 303(d) List.

Updated Plan to describe the
prioritization of condition
assessments on areas that: (1)
hold a high level of environmental
consequences if vulnerable to
collapse, failure, blockage,
capacity issues, or other system
deficiencies; (2) are located in or
within the vicinity of surface waters,
steep terrain, high groundwater
elevations, and (3) environmentally
sensitive areas; and are within the
vicinity of a receiving water with a
bacterial-related impairment on the
most current Clean Water Act
section 303(d) List.
8/2/2025
34 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update Plan to include procedures to utilize
observations/evidence of system conditions that
may contribute to exiting of sewage from the
system which can reasonably be expected to
discharge into a water of the State.

Updated Plan to include
procedures to utilize
observations/evidence of system
conditions that may contribute to
exiting of sewage from the system
which can reasonably be expected
to discharge into a water of the
State.
8/2/2025
35 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Add description of the documentation and record
keeping system used to manage system evaluation
and condition assessment inspections and activities
Added description of the
documentation and record keeping
used to manage system evaluation
and condition assessment
inspections and activities. Included
summary table describing each
tool and application.
8/2/2025
36 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update the Plan to describe how data from existing
system condition assessments, system inspections,
audits, spill history, and other relevant sources is
being used to evaluate system capacity.

Updated the Plan to describe how
data from existing system condition
assessments, system inspections,
audits, spill history, and other
relevant sources is being used to
evaluate system capacity.
8/2/2025
37 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update the Plan to describe the actions taken by
LACPW to provide necessary redundancy in
pumping and storage capacities.

Updated the Plan to describe
redundancy of pump stations. 8/2/2025
38 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update Plan to describe the methods and
procedures for capacity assessment that address
all the components listed in the reissued order.

Updated Plan to describe the
methods and procedures for
capacity assessment that address
all the components listed in the
reissued order.
8/2/2025
SSMP Revisions Log
ID SSMP Element Recommended Corrective Action or
Opportunity for Improvement Description of Change to SSMP Date Completed 39 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update the Plan to describe how SMD prioritizes
corrective actions based on findings from condition
and capacity assessments.

Updated the Plan to describe how
SMD prioritizes corrective actions
based on findings from condition
and capacity assessments.
8/2/2025
40 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update the Plan to include the most recent capital
improvement plan and list of CIP projects with
details including completion dates and funding
sources.

Updated description of CIP and
provided list of current ACO
programs.
8/2/2025
41 D.8 System
Evaluation,
Capacity
Assurance and
Capital
Improvements
Update the Plan to describe the LACPW’s joint
coordination internally and interagency coordination
with other utility agencies.

Updated to describe the DPW’s
internal joint coordination and
interagency coordination.
8/2/2025
42 D.9 Monitoring,
Measurement,
and Program
Modifications
Update to include description of how relevant
information will be used to identify and prioritize
appropriate Plan activities
Updated to describe how relevant
information will be used to identify
and prioritize appropriate Plan
activities
8/2/2025
43 D.9 Monitoring,
Measurement,
and Program
Modifications
Update Plan to include description on how the
monitoring of each of these elements are being
documented and provide a schedule or summary
table/tracker.

Updated SSMP with monitoring
methods and a table summarizing
the elements being documented
and tracked.
8/2/2025
44 D.10 SSMP
Audits
Update the SSMP audit schedule to reflect audit
requirements from the 2022 General Order.

Updated the SSMP audit schedule
to reflect 2022 General Order
requirements.
8/2/2025
45 D.11
Communication
Program
Update the Plan with the communication procedure
to notify the public of spills and discharges that
result in public area closures or that enter a source
of drinking water.

Updated the plan with
communication procedures to
notify the public of spills or
discharges that result in closure of
public areas or that enter a drinking
source.
8/2/2025
46 D.11
Communication
Program
Update the Plan to include procedures for
communicating to provide opportunities for public
input to Plan implementation and updates of the
SSMP.

Updated the plan to include
procedures for general
communication with public on
SSMP. Included link to survey form
for public input.
8/2/2025
47 D.11
Communication
Program
Update the SSMP to include procedures for
communicating with owners/operators that connect
to the Sewer Maintenance District’s collection
systems for system related operation, maintenance,
and capital improvement-related activities.

Updated the SSMP to include
procedures to communicate with
owners/operator and contracting
agencies.
8/2/2025
Appendix K – Not Used
Reserved for future attachments associated with SSMP Element 11 – Communication Program.

CITY OF HAWAIIAN GARDENS

CITY COUNCIL

STAFF REPORT
Agenda Item #C3
DATE: August 13, 2025
TO: Honorable Mayor and Members of the City Council
FROM: Ernesto Marquez, City Manager
BY: Linda Hollinsworth, Finance Director
RECOMMENDATION: RECOMMENDATION TO APPROVE DONATIONS TO NONPROFIT ORGANIZATIONS

SUMMARY
The donation policy provides for non-profit organizations to submit applications for donations from the City in July and January of each fiscal year. The City adopted a budget for FY 2025-2026 which included $20,000 for donations to non-profits. For the 2025- 2026 July cycle the City received two (2) applications. These applications have been reviewed and meets the requirements of the policy. Below are the organizations, the amount requested and the planned use of the funds.
• Hawaiian Gardens Eagles Soccer Club – $5,000 for team uniforms, equipment and league/tournament registrations
• Hawaiian Gardens Little League – $5,000 for support for the youth baseball and softball programs, opening and closing ceremonies.

FISCAL IMPACT
The current budget includes $20,000 for donations to non-profit organizations

SUGGESTED ACTION
Approve Recommendation.

ATTACHMENTS
A. Donation Request Summary Form

ATTACHMENT A

ORGANIZATION
AMOUNT

REQUESTED PURPOSE

NUMBER OF
PARTICIPANTS AND % HG

RESIDENTS
PREVIOUS 5

DONATION RECEIVED
Hawaiian Gardens Eagles Soccer Club $5,000
Granted funds will be utilized for team
uniforms, equipment and
league/tournament registrations
Approximately 200
participants between the
ages of 6-17 with
approximately 75%
Hawaiian Gardens
residents.
$5,000 04/05/18
$5,000 04/09/19
$5,000 03/05/20
$5,000 05/10/22
$5,0000 9/11/24
Hawaiian Gardens Little League $5,000
Granted funds will be utilized to support the
youth baseball and softball programs,
including the opening and closing
ceremonies
60-100 participants
between the ages of 4-12
with approximately 99%
Hawaiian Gardens
residents.
$5,000 04/09/19
$5,000 03/05/20
$3,000 05/10/22
$5,000 05/09/23
$5,000 09/11/24

SUMMARY OF DONATION REQUESTS FROM HAWAIIAN GARDENS NON-PROFITS To be Presented to Council on August 13, 2025
For FY 2025-2026
Amount Available to Distribute - $20,000

CITY OF HAWAIIAN GARDENS

CITY COUNCIL

STAFF REPORT
Agenda Item #C4
DATE: August 13, 2025
TO: Honorable Mayor and Members of the City Council
FROM: Ernesto Marquez, City Manager
RECOMMENDATION:

Recommendation to adopt Resolution No. 025-2025, approving salary ranges and benefits for unrepresented at-will confidential and non-confidential professional and management positions.

SUMMARY
Upon conclusion of the 2024 classification and compensation study, and implementation of increases/personnel job classification adjustments for AFCSME Rank-and-File and Management represented employees, the City seeks implementation of increases/personnel job classification adjustments for unrepresented employees.

Additionally, the present Staff Report and accompanying Resolution 025-2025 will serve as the official plan of compensation and benefits for the City of Hawaiian Gardens professional and management confidential and non-confidential at-will positions, not represented by an employee organization, and not covered by an employment agreement.

BACKGROUND INFORMATION
The key provisions of the Resolution regarding compensation and benefits for the unrepresented employees covered by the resolution are as follows:
1) The City shall implement the results of the classification and compensation study (Resolution Exhibit 2), the enclosed Salary Schedule retroactive to July 1, 2024 (Resolution Exhibit 1), and its subsequent increases as set forth in the Management MOU approved by Resolution 019-2025 (first increase effective July 1, 2025, reflected in resolution Exhibit 3). Employees covered by this Resolution shall also receive step increases, upon receipt of their annual review, on their anniversary of their hire date. Step increases shall only be awarded to employees receiving a “Meets Expectations” evaluation. If the top step is reached by an employee, that employee will continue to receive evaluations even though no step increase will be awarded.

Agenda Item #C4
August 13, 2025

Page 2 ends

2) Healthcare Contribution Cap: Any full-time unrepresented employee hired on or after July 1, 2024, will be limited to a $2,500/per month healthcare contribution cap from the City regardless of plan selected.
3) Phone Allowance: Employees covered by Resolution 025-2025 shall receive a $100 a month phone allowance.
4) Car Allowance: The positions of City Clerk, Director of Community Development, Public Works Director/City Engineer, and Director of Recreation and Community Services shall receive a $500 a month. The positions of Public Works Manager and Human Resources Manager shall continue to receive a $400 a month. Car allowances for any unrepresented employees hired after July 1, 2025, shall be at the discretion of the City Manager.
5) Retirement: Employees covered by Resolution 025-2025 shall be eligible for CalPERS retirement under the same terms and conditions as set forth in the Management MOU. Employees covered by Resolution 025-2025 shall also be eligible to receive up to a 2% match in the City 457(b) deferred compensation plan.

FISCAL IMPACT
See above.

SUGGESTED ACTION
Approve Recommendation.

ATTACHMENTS

1. Resolution 025-2025 Approving Benefits & Pay for Unrepresented Positions

2. Salary Schedule (Unrepresented)_Salary Schedule Effective 07-01-2024

3. Salary Schedule (Unrepresented)_Parallel Before and After Class & Comp

4. Salary Schedule (Unrepresented)_Salary Schedule Effective 07-01-2025

Page 1 of 2 ends

RESOLUTION NO. 025-2025

RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HAWAIIAN GARDENS

APPROVING SALARY RANGES AND BENEFITS FOR UNREPRESENTED AT-WILL

CONFIDENTIAL AND NON-CONFIDENTIAL PROFESSIONAL AND MANAGEMENT

POSITIONS
WHEREAS, Hawaiian Gardens Municipal Code (HGMC) §2.08.050 requires that salaries and compensation of officers and employees of the City be determined by resolution of the City Council; and
WHEREAS, the City concluded the 2024 classification and compensation study and seeks implementation of increases/personnel job classification adjustments for unrepresented employees, after processing all increases/personnel job classification adjustments for represented employees; and WHEREAS, the City Council adopted Resolution 011-2025, which amended the fiscal year budget including budgeted positions, salary and personnel action/job classification adjustments; and WHEREAS, the City Council desires to approve fair and equitable compensation and benefits for unrepresented at-will confidential and non-confidential professional and management employees;

NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF HAWAIIAN GARDENS AS FOLLOWS:

SECTION 1 – RECOGNITION:

A. The present Resolution establishes the official plan of compensation and benefits for the City of Hawaiian Gardens professional and management confidential and nonconfidential at-will positions, not represented by an employee organization, and not covered by an employment agreement.

B. At-will unrepresented confidential and non-confidential management positions include department heads currently filled as City Clerk, Director of Community Development, Human Resources Manager, Engineer/Public Works Manager, Public Works Director/City Engineer, and Director of Recreation and Community Services positions.

SECTION 2 – SALARIES AND COMPENSATION:

A. The City Council of the City of Hawaiian Gardens hereby approves the results of the classification and compensation study (Exhibit 2), the enclosed Salary Schedule retroactive to July 1, 2024 (Exhibit 1), and its subsequent increases as set forth in the Management MOU approved by Resolution 019-2025 (first increase effective July 1, 2025, reflected as Exhibit 3).

B. Employees covered by this Resolution shall receive step increases, upon receipt of their annual review, on their anniversary of their hire date. Step increases shall only be awarded to employees receiving a “Meets Expectations” evaluation. If the top step is reached by an employee, that employee will continue to receive evaluations even though no step increase will be awarded.

Page 2 of 2 ends

SECTION 3 – BENEFITS: Except as stated below, employees covered by this Resolution shall continue to receive the benefits including medical, dental, vision insurance, life insurance and any other voluntary or fringe benefits as set forth in the Management MOU. Employees covered by this Resolution shall be excluded from the one-time $2,500 incentive payment as stated in the AFCSME Management MOU Section II. Salaries and Compensation (E). Any full-time unrepresented employee hired on or after July 1, 2024, will be limited to a $2,500/per month healthcare contribution cap from the City regardless of plan selected. In addition, employees covered by this Resolution shall receive a $100 a month phone allowance. The following positions shall also receive a $500 a month car allowance: City Clerk, Director of Community Development, Public Works Director/City Engineer, and Director of Recreation and Community Services. The following positions shall continue to receive a $400 a month car allowance: Public Works Manager and Human Resources Manager. Car allowances for any unrepresented employees hired after July 1, 2025, shall be at the discretion of the City Manager.

SECTION 4 – RETIREMENT: Employees covered by this Resolution shall be eligible for CalPERS retirement under the same terms and conditions as set forth in the Management MOU.

Employees covered by this Resolution shall also be eligible to receive up to a 2% match in the City 457(b) deferred compensation plan.

SECTION 5 – VACATION: Employees covered by this Resolution shall be eligible for the same vacation under the same terms and conditions as set forth in the Management MOU.

SECTION 6 – HOLIDAYS: Employees covered by this Resolution shall be eligible for the same holidays under the same terms and conditions as set forth in the Management MOU.

SECTION 7 SICK AND OTHER LEAVES: Employees covered by this Resolution shall be eligible for the same leaves, including paid sick leave, under the same terms and conditions as set forth in the Management MOU.

SECTION 8: This approval of the revised Salary Schedule is exempt from the California Environmental Quality Act (“CEQA”) as there is no reasonably possibility that the MOU will have a significant effect on the environment pursuant to CEQA guidelines section 15061(b)(3).

SECTION 9: The Mayor or his/her presiding officer is hereby authorized to affix his/her signature to this resolution signifying its passage and adoption by the City Council of the City of Hawaiian Gardens. Similarly, the City Clerk or his/her designee shall attest and shall certify to the adoption of the Resolution and shall cause this Resolution and its certification to be entered into the Book of Resolutions of the City of Hawaiian Gardens.

ADOPTED by the City Council of City of Hawaiian Gardens at a regular meeting of the City Council held on the 13th day of August of 2025.

DANDY DE PAULA, Mayor
ATTEST: APPROVED TO AS FORM:
_______________________________
PABLO RUBIO, City Clerk NORMA TABARES, City Attorney
EXHIBIT 1 City of Hawaiian Gardens
Unrepresented Salary Schedule Effective 07/01/2024

Page 1 of 1 ends

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Sudy
NAME OF POSITION Step A Step B Step C Step D Step E Step A Step B Step C Step D Step E City Clerk $9,549 $10,027 $10,528 $11,054 $11,607 $58.76 $61.70 $64.79 $68.03 $71.43 Director of Community Development $11,391 $11,960 $12,558 $13,186 $13,845 $70.10 $73.60 $77.28 $81.15 $85.20 Director of Recreation & Community Services $10,551 $11,078 $11,632 $12,214 $12,825 $64.93 $68.17 $71.58 $75.16 $78.92 Human Resources Manager $9,392 $9,862 $10,355 $10,873 $11,416 $57.80 $60.69 $63.72 $66.91 $70.25 Public Works Director $10,624 $11,156 $11,713 $12,299 $12,913 $65.38 $68.65 $72.08 $75.69 $79.47 Public Works Manager $9,320 $9,786 $10,275 $10,789 $11,328 $57.35 $60.22 $63.23 $66.39 $69.71

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Hourly Rates)

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Monthly Rates)
EXHIBIT 2 City of Hawaiian Gardens
Unrepresented Salary Schedule Parallel Before and After Class and Comp (before and after 07/01/2024)

Page 1 of 1 ends

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Pre-Class and Comp Sudy

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Sudy
NAME OF POSITION NAME OF POSITION Step A Step B Step C Step D Step E Step A Step B Step C Step D Step E Step A Step B Step C Step D Step E Step A Step B Step C Step D Step E City Clerk City Clerk $9,271 $9,735 $10,222 $10,734 $11,269 $9,549 $10,027 $10,528 $11,054 $11,607 $57.05 $59.91 $62.90 $66.06 $69.35 $58.76 $61.70 $64.79 $68.03 $71.43 Director of Community Development Director of Community Development $10,979 $11,528 $12,105 $12,709 $13,345 $11,391 $11,960 $12,558 $13,186 $13,845 $67.56 $70.94 $74.49 $78.21 $82.12 $70.10 $73.60 $77.28 $81.15 $85.20 Director of Recreation And Community Serv. Director of Recreation & Community Services $10,139 $10,646 $11,179 $11,738 $12,325 $10,551 $11,078 $11,632 $12,214 $12,825 $62.39 $65.51 $68.79 $72.23 $75.85 $64.93 $68.17 $71.58 $75.16 $78.92 Human Resources Manager Human Resources Manager $8,981 $9,430 $9,900 $10,397 $10,916 $9,392 $9,862 $10,355 $10,873 $11,416 $55.27 $58.03 $60.92 $63.98 $67.18 $57.80 $60.69 $63.72 $66.91 $70.25 Public Works Director $10,624 $11,156 $11,713 $12,299 $12,913 $65.38 $68.65 $72.08 $75.69 $79.47 City Engineer/Public Works Manager Public Works Manager $8,908 $9,354 $9,823 $10,312 $10,828 $9,320 $9,786 $10,275 $10,789 $11,328 $54.82 $57.56 $60.45 $63.46 $66.63 $57.35 $60.22 $63.23 $66.39 $69.71

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Pre-Class and Comp Study
(Expressed as Hourly Rates)

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Hourly Rates)

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Pre-Class and Comp Study
(Expressed as Monthly Rates)

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Monthly Rates)
EXHIBIT 3 City of Hawaiian Gardens
Unrepresented Salary Schedule Effective 07/01/2025

Page 1 of 1 ends

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Sudy
NAME OF POSITION Step A Step B Step C Step D Step E Step A Step B Step C Step D Step E City Clerk $9,788 $10,277 $10,791 $11,331 $11,897 $60.23 $63.24 $66.41 $69.73 $73.21 Director of Community Development $11,675 $12,259 $12,872 $13,516 $14,191 $71.85 $75.44 $79.21 $83.17 $87.33 Director of Recreation & Community Services $10,814 $11,355 $11,923 $12,519 $13,145 $66.55 $69.88 $73.37 $77.04 $80.89 Human Resources Manager $9,627 $10,108 $10,614 $11,145 $11,701 $59.24 $62.21 $65.32 $68.58 $72.01 Public Works Director $10,890 $11,434 $12,006 $12,606 $13,236 $67.01 $70.37 $73.88 $77.58 $81.46 Public Works Manager $9,553 $10,030 $10,532 $11,058 $11,611 $58.78 $61.72 $64.81 $68.05 $71.45

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Monhtly Rates)

CITY OF HAWAIIAN GARDENS

UNREPRESENTED
Post-Class and Comp Study
(Expressed as Hourly Rates)

CITY OF HAWAIIAN GARDENS

CITY COUNCIL

STAFF REPORT
Agenda Item #C5
DATE: August 13, 2025
TO: Honorable Mayor and Members of the City Council
FROM: Ernesto Marquez, City Manager
BY: Norma Tabares, City Attorney
RECOMMENDATION:

Recommendation to:

1. Approve a retirement incentive program (“Program”) for eligible employees for an anticipated cost of $300,000, plus the employer share of applicable payroll taxes; and

2. Authorizes the City Manager to take all necessary, lawful and appropriate actions to implement the Program; and

3. Authorize the City Manager to execute the attached acknowledgement form required by Government Code Section 7507.

SUMMARY
On July 23, 2025, the City Council disclosed the anticipated cost of offering a proposed Early Retirement Incentive Program (“Program”) to eligible employees as required by Government Code Section 7507.

The details of the Program are now presented to the City Council for approval and implementation. Based on the eligibility criteria set forth below, twenty-one (21) employees are eligible to elect to participate in the Program. However, if approved, Program participation will be capped to the first twelve (12) eligible employees that elect to participate in the Program by submitting a signed Retirement Incentive Program Agreement and General Release and Waiver (“Agreement”).

Staff recommends that the City Council approve the Program. The details of the Program are outlined below.

Agenda Item #C5
August 13, 2025

Page 2 ends

DESCRIPTION OF RETIREMENT INCENTIVE PROGRAM:

The Program will permit eligible employees to elect to retire sooner than they would have otherwise retired in exchange for an incentive benefit. Staff recommends that the retirement incentive benefit be in the form of a cash payment. The following is an outline of the Program as recommended by staff.

PROGRAM CRITERIA
- The Program will be limited to a maximum of twelve (12) employees on a first come, first served basis.
- The Election Window will be from August 25, 2025 to October 10, 2025. - An employee must be employed with the City on the first day of the Election Window.
- An employee must be eligible for a non-disability, service retirement through CalPERS no earlier than August 26, 2025 and no later than October 15, 2025. - An eligible employee must sign a Retirement Incentive Program Agreement and General Release (“Agreement”) to elect to participate in the Program. - The eligible employee must sign and submit the Agreement no later than October 10, 2025 and submit a CalPERS retirement application with a retirement effective date that is no earlier than August 26, 2025 but no later than October 15, 2025. - An eligible employee that has elected to participate in the Program, and is one of the first twelve (12) to elect to participate in the Program, must sign and submit a Supplemental Release Agreement on or following the last day of employment with the City.

INCENTIVE BENEFITS
- After retirement, and assuming all Program criteria has been met, participants will receive a cash payment equal to $25,000, minus applicable withholdings.

The retirement incentive proposed by staff is to provide a cash incentive consisting of a one-time cash payment per participating employee. This amount would be subject to withholding as wages dependent on the employee’s specific tax rate. There would be no restrictions on how the funds are utilized. The payment would be made to the participating employee once all Program criteria have been satisfied, including execution of the Supplemental Release Agreement, and any revocation period has expired.

The City would also be required to pay the employer share of applicable taxes.

Finally, subsection (d) of Section 7507 requires that following adoption of any benefit change, the person with the responsibilities of a chief executive officer in an entity providing the benefit acknowledge in writing that he or she understands the current and future cost of the benefit. The attached acknowledgement form is designed to satisfy this requirement. Staff is seeking for authorization for the City Manager to execute this acknowledgment.

Agenda Item #C5
August 13, 2025

Page 3 ends

FISCAL IMPACT
As previously disclosed, the anticipated cost of the program is up to $300,000 plus the employer share of applicable taxes and may be less, depending upon the number of participants.

SUGGESTED ACTION
Approve Recommendation.

ATTACHMENTS
A. Acknowledgement
B. Retirement Incentive Program Agreement
C. Supplemental Waiver Agreement

ACKNOWLEDGEMENT
[GOVERNMENT CODE SECTION 7507(d)]
As the City Manager of the City of Hawaiian Gardens, I hereby acknowledge, in accordance with Section 7507(d) of the California Government Code, that I understand the current and future cost of the benefits that are to be provided under the retirement incentive program that has been approved.

DATED: ___________________
_____________________________________

ERNESTO MARQUEZ
Attachment A
65320.00204\43887317.2

CITY OF HAWAIIAN GARDENS

RETIREMENT INCENTIVE PROGRAM AGREEMENT

AND GENERAL RELEASE AND WAIVER
This Retirement Incentive Program Agreement and General Release and Waiver of all claims (“Agreement”) is made and entered into by and between the City of Hawaiian Gardens (“Employer”) and (“Employee”) in connection with the
Employer’s Retirement Incentive Program (“Program”).

RECITALS
A. Employee began their employment with Employer on , and is working in the position of as of the date this Agreement is signed by Employee and submitted to the HUMAN RESOURCES DEPARTMENT. Notwithstanding the foregoing, this Agreement shall not be effective until the Effective Date (as defined in Section 7).

B. Employee has reviewed the terms of the Program set forth herein and desires to retire from their employment and participate in the Program.

NOW, THEREFORE, in consideration of the foregoing recitals and the promises and warranties set forth herein, and for other good and valuable consideration, the receipt of which are hereby acknowledged, the parties knowingly and voluntarily agree as set forth below.

AGREEMENT

1. The Program.
(a) Eligibility. In order to be eligible to participate in the Program, the Employee must:
(i) be eligible to retire for non-disability, service retirement under the CalPERS system, (ii) elect to participate in the Program between August 25, 2025 and October 10, 2025 (“Election Window”), and (iii) be employed with the City on the first day of the Election Window. All employees who satisfy the foregoing requirements are eligible to participate in the Program and shall be referred to as “Eligible Employees.”
As required by Section 626(f)(1)(H)(ii) of Title 29 of the United States Code, a table summarizing the job titles and ages of all of the individuals who are eligible for the Program and those who are not eligible for the Program is attached hereto as Exhibit A. (b) Terms and Conditions.
(i) Maximum Participation. No more than twelve (12) Eligible Employees will be allowed to participate in the Program.
(ii) Applying to Participate. The Eligible Employees who will participate in the Program will be selected based on the order in which Eligible Employees submit a signed copy of this Agreement to the Employer’s HUMAN RESOURCES DEPARTMENT between August 25, Attachment B
65320.00204\43887317.2
2025 and October 10, 2025. The signed copy of the Agreement may be submitted by any of the following methods:
(1) In person, in a sealed envelope marked “CONFIDENTIAL” to the Front Desk Receptionist addressed to Rosario Pozzoli, Human Resources Manager; (2) By mail, marked “CONFIDENTIAL” Rosario Pozzoli, Human Resources Manager, at City of Hawaiian Gardens, 21815 Pioneer Boulevard, Hawaiian Gardens, California, 90716; or
(3) By electronic mail to Rosario Pozzoli, Human Resources Manager at mailto:[email protected] with a copy to [email protected].

A member of the Employer’s HUMAN RESOURCES DEPARTMENT will write the date and time each Agreement is received on the first page of each Agreement. Each of the first twelve (12) Eligible Employees whose signed Agreement is submitted through any of the methods listed above shall be considered a Program participant if all of the conditions set forth in this Section

1.(b) are satisfied. The Employer’s HUMAN RESOURCES DEPARTMENT will notify each applicant in writing whether their election to participate in the Program is within the first twelve (12) applications received.
(iii) Requirements. In order to be eligible to receive the Program Benefits described in Section 1.(c), each Eligible Employee must fulfill the following requirements:
(1) Execution of this Agreement. After being given at least forty-five (45) calendar days to review this Agreement and consult with an attorney, the Eligible Employee signs and returns this Agreement in accordance with Section 1.(b)(ii) above, and does not revoke this Agreement within the seven (7) calendar day statutory period. (2) Retirement. The Eligible Employee submits an application to retire to CalPERS and actually retires from employment with the Employer through CalPERS with an effective date no earlier than August 26, 2025 but no later than October 15, 2025. The date of retirement shall be referred to as the “Retirement Date.” (3) Return of Employer Property. On or before the Retirement Date, the Employee shall return all Employer property in their possession pursuant to Section 3 of this Agreement.
(4) Execution of Supplemental Release Agreement. On, or after, his/her last day of employment with the City, the Eligible Employee signs—and does not revoke—a Supplemental Release Agreement substantially similar to that set forth in Exhibit B to this Agreement.
(c) Program Benefits.

If the Employee submits a signed copy of this Agreement and it is accepted by the Employer’s HUMAN RESOURCES DEPARTMENT as outlined in Section 1.(b)(ii) and the Employee fulfills all of the requirements set forth in Section 1.(b)(iii), the Employee will receive 65320.00204\43887317.2
a one-time lump sum payment equal to Twenty-Five Thousand Dollars ($25,000), minus applicable withholdings.

2. Separation Terms. As of the Effective Date of this Agreement, and subject to the terms and conditions in this Agreement, the following terms shall apply:
(a) Until the Retirement Date, Employee will maintain their employment with Employer and will diligently perform their regular job duties and assist with the orderly transition of their job duties as directed by their supervisor, or his/her designee. (b) On or immediately after their last day of employment with the City, Employee will be presented with a Supplemental Release Agreement covering the time period between the Effective Date of this Agreement and the last day of employment, in a form substantially similar to that in Exhibit B. In accordance with the terms of that Supplemental Release Agreement, Employee will be provided with a specified period to review the Supplemental Release Agreement. (c) If Employee executes, and does not revoke within statutory timelines, both this Agreement and the Supplemental Release Agreement, the Employer will pay the Program Benefits described in Section 1.(c) above.

3. Property and Equipment.

On or before the Retirement Date, Employee shall return to the Employer all Employer property Employee has had in their possession or control, including but not limited to cellular or smart phones, credit cards, entry cards, keys, identification badges, official business permits and computer data. Return of all such Employer property is an express condition precedent to Employee’s eligibility to receive the Program Benefits described in Section 1.(c) above.

4. Waiver of Discrimination Claims.

Employee understands and acknowledges that Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act, the Civil Rights Act of 1991, the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, the Americans with Disabilities Act of 1990, the Federal Family and Medical Leave Act of 1993, the California Family Rights Act of 1991, the California Fair Employment and Housing Act, and other statutes (collectively, “Acts”) provide Employee with the right to bring an action against the Employer if Employee believes Employee has been discriminated against based on race, ancestry, creed, color, religion, sex, marital status, national origin, age, status as an individual who has filed a claim for workers’ compensation benefits or who has sustained an industrial injury, status as a veteran of the Vietnam era, physical or mental handicap, and/or disability. Employee understands the rights afforded to them under these Acts and agrees that Employee will not bring any action against the Employer based on any alleged violation(s) of these Acts related to their retirement under this Agreement. Employee hereby waives any right to assert a claim for any relief under these or similar Acts, including but not limited to back pay, attorney fees, damages, reinstatement, and/or injunctive relief, arising out of their retirement.

5. General Release of All Claims.
65320.00204\43887317.2
Excepting the obligations that are expressly set forth in this Agreement, the parties shall and hereby do release and forever discharge each other, as well as their predecessors, successors, heirs, executors, administrators, other present or former employees, council members, officers, consultants, agents, attorneys, directors, successors and assigns (collectively, “Released Parties”), from all claims related in any way to the transactions or occurrences between Employee and the Employer to date related to their retirement, to the fullest extent permitted by law. This release is intended to be interpreted broadly to apply to all transactions and occurrences between Employee and the Employer, including but not limited to any and all claims related to Employee’s employment and employment conditions with the Employer and all other losses, liabilities, claims, charges, demands and causes of action, known or unknown, suspected or unsuspected, arising directly or indirectly out of or in any way connected to Employee’s employment with the Employer or the retirement from such employment (collectively, “Released Claims”). Released Claims include, but are not limited to, any claim based in common law, the state or federal Constitution, state or federal statutes, all contract or tort claims (such as wrongful termination, constructive discharge, breach of contract, breach of the covenant of good faith and fair dealing, fraud, defamation, libel, invasion of privacy, and intentional or negligent infliction of emotional distress), and all related claims for physical injuries, illness or damage, and all claims for attorneys’ fees, costs and expenses, grievances, claims and/or appeals under federal or state law or due process.

However, nothing in this Agreement shall be interpreted to waive Employee’s statutory rights under the California Labor Code (e.g., workers compensation), the California Unemployment Insurance Code, or the California Government Claims Act regarding defense of, and/or indemnity for, claims relating to acts committed within the course and scope of their employment.

6. Waiver of California Civil Code Section 1542.

It is understood and agreed that the releases as referred to herein are full and final releases by each party of the other, and that such full and final releases include, without limitation, all unknown and unanticipated claims, injuries, debts, or damages, as well as those now known or disclosed. With respect to all claims, each party expressly waives the provisions of California Civil Code section 1542, which provides as follows:

A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.

In that connection, each party realizes and acknowledges that one or more of the Released Claims may include losses sustained by that party on account of the other that are presently unknown or unsuspected, and that such losses as were sustained may give rise to additional losses and expenses in the future which are not now anticipated. Nevertheless, each party acknowledges that this release has been agreed upon and that in consideration for the rights and benefits under this Agreement, the Parties intend and hereby do release, acquit and forever discharge each other from any and all claims, including those that are unknown, unsuspected or unforeseen or that are presently unknown and unanticipated.
65320.00204\43887317.2

7. Age Discrimination in Employment Act Waiver and Release, and Time to Sign and Revoke Agreement.

Employee represents that Employee is over the age of 40. Further, Employee acknowledges their waiver and release hereunder of any rights Employee may have under the Age Discrimination Employment Act (ADEA) is knowing and voluntary and that the consideration given for their waiver and release in this Agreement is in addition to anything of value to which Employee was already entitled. Employee further acknowledges that Employee has been advised by this writing as required by the Older Workers Benefit Protection Act, that: (a) their waiver and release of rights in this Agreement does not apply to any rights or claims that may arise after this Agreement is executed; (b) Employee should consult with an attorney prior to executing this Agreement; (c) Employee has had at least forty-five (45) calendar days from the date Employee first receives this Agreement to obtain the advice of counsel from the legal representative of their choice and to decide whether to sign it (although Employee may, by their own choice, execute this Agreement earlier); (d) Employee understands that for seven (7) calendar days after Employee signs this Agreement, Employee has the right to revoke it; and (e) the Agreement shall not become effective and enforceable until the date upon which the revocation period has expired, which shall be the eighth day after the Agreement is executed by Employee (“Effective Date”). If Employee chooses to revoke, notice must be sent to and received by the Employer’s HUMAN RESOURCES DEPARTMENT, by any of the methods listed under Section 1.(b)(ii) above, by no later than the time frame referenced above (i.e., seven (7) calendar days after Employee signs the Agreement).

In exchange for the Program Benefits described herein, Employee expressly waives their rights or claims under the Age Discrimination in Employment Act (ADEA) that arose prior to the date of execution of this Agreement. Employee understands and agrees that Employee will be entitled to the consideration (i.e., Program Benefits described in Section

1.(c) above) provided by this Agreement only if Employee does not revoke their signature on this Agreement and satisfies the other requirements set forth in Section 1.(b) above. _____ Employee’s Initials

8. Warranty of No Filed Claims/Covenant Not to Sue.
(a) Employee represents that Employee has not filed any complaint, grievance, claim, or action against the Employer or any of its council members, officers, agents, directors, employees, or representatives with any state, federal, or local agency, board, arbitrator, or court based on any matters arising out of their employment with the Employer and/or their retirement from employment, and that Employee will not do so at any time hereafter. (b) Employee further covenants not to sue or file any complaint, grievance, claim or action at any time hereafter based on any matters arising out of or in any way relating to their employment with the Employer, or retirement from employment, that could have been filed as of the Effective Date of this Agreement.
65320.00204\43887317.2

9. No Admission of Liability.

This Agreement and compliance with it shall not operate or be construed as an admission by either party of any liability, misconduct, or wrongdoing whatsoever against the other or any other person; nor as an admission by the Employer of any violation of the rights of Employee or any other person; nor as a violation of any order, law, statute, duty, or contract whatsoever against Employee or any other person. Rather, the parties expressly deny any liability to one another.

10. Neutral Interpretation, Mutual Drafting and Governing Law.

This Agreement shall be deemed to have been jointly drafted by the parties and shall be governed by and construed in accordance with the laws of the State of California. Any uncertainty or ambiguity may not be interpreted for or against any one party. The headings contained in this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement.

11. Notice. Any notices or other communications to be given to either party pursuant to this Agreement, other than as specified in Section 1.(b)(ii) or Section 7, shall be in writing and delivered personally or by U.S. Mail, postage prepaid, addressed to the party at the address set forth below. Notice so mailed shall be deemed delivered three (3) business days after deposit in the U.S. Mail. Nothing shall preclude the giving of notice by fax, which shall be effective upon receipt of the fax; provided, however, that notice by fax shall be followed by notice deposited in the U.S. Mail as discussed above.

EMPLOYER City of Hawaiian Gardens
21815 Pioneer Boulevard
Hawaiian Gardens, CA 90716
Attn: Rosario Pozzoli

EMPLOYEE
______________________________
______________________________
______________________________
____________________

12. No Assignment of Claims.

Employee expressly warrants that Employee has not transferred to any other person or entity any of the rights or causes of action released in this Agreement.

13. Confidentiality.

The Employer agrees to only disclose the Employee’s participation in the Program to necessary personnel who will administer the Program. A list of employees participating in the Program will not be released to other personnel, including other Program participants. 65320.00204\43887317.2

14. Entire Agreement.

This Agreement constitutes the entire agreement between Employee and the Employer. No other promise or inducement has been offered for this Agreement. Neither of the parties are relying upon any other negotiations, discussions or agreements in connection with the subject matter of this Agreement. This is a fully integrated agreement.

15. Severability and Waiver.
(a) If any provision of this Agreement is adjudicated by a court of competent jurisdiction to be invalid or unenforceable, the remainder of the Agreement—which can be given full force and effect without the invalid provision—shall continue in full force and effect, and shall in no way be impaired or invalidated.
(b) Any of the terms or conditions of this Agreement may be waived at any time by the party entitled to the benefit thereof, but no such waiver shall affect or impair the right of the waiving party to require observance, performance or satisfaction either of that term or condition as it applies on a subsequent occasion or of any other term or condition hereof.

16. Choice of Law; Venue of Actions; Costs and Fees.

This Agreement shall be interpreted according to the laws of the State of California. Venue of any legal action shall be in Los Angeles County Superior Court. If any legal action is instituted to enforce any provision of this Agreement, or because of an alleged dispute, breach, default or misrepresentation in connection with any of its provisions, the court shall award the prevailing party reasonable attorneys’ fees and other litigation costs incurred in that action, in addition to any other relief to which the prevailing party may be entitled. Nothing in this section shall prevent the parties from mutually agreeing to binding arbitration of any dispute, in which case the arbitrator may award attorneys’ fees and litigation costs to the prevailing as described above.

17. Voluntary Execution of Agreement.

Employee represents that Employee has carefully read this entire Agreement and that Employee knows and understands its contents. The parties have each had the opportunity to receive independent legal advice from attorneys of their choice with respect to the review and advisability of executing this Agreement. The Employee further represents and acknowledges that Employee has freely and voluntarily executed this Agreement after independent investigation and without fraud, duress, or undue influence, with a full understanding of the legal and binding effect of this Agreement and with the approval of legal counsel, if any.

18. Each Party to Bear Own Costs and Fees.

Each party shall bear its own attorney’s fees and other costs incurred in connection with this Agreement.
65320.00204\43887317.2

19. Counterparts.

This Agreement may be executed in two or more counterparts, including via facsimile or electronically-transmitted signature, each of which shall be deemed an original, but all of which together shall constitute one-in-the-same document.

EMPLOYEE
DATED: ______________________ __________________________________________

EMPLOYER
DATED: ______________________ By:_______________________________________ APPROVED AS TO FORM:

BEST BEST & KRIEGER, LLP
Counsel for the ____________
______________________________
65320.00204\43887317.2

EXHIBIT A
65320.00204\43887317.2

EXHIBIT B
Supplemental Release and Wavier of Claims.
65320.00204\43887334.2
1 EXHIBIT B

SUPPLEMENTAL RELEASE AND WAIVER OF CLAIMS
WHEREAS, (“Employee”) and the City of Hawaiian Gardens
(“Employer”) entered into the City of Hawaiian Gardens Retirement Incentive Program Agreement and General Release and Waiver (“Agreement”) for certain benefits to be paid to Employee if various conditions regarding the Employer’s Retirement Incentive Program (“Program”) were met, one of which requires Employee’s execution of a supplemental release releasing all claims that may have arisen between the Employee’s execution of the Agreement and the Employee’s Retirement Date;
WHEREAS, this Supplemental Release and Waiver (“Supplemental Release”) has been prepared for that purpose;
NOW, THEREFORE, in consideration of the releases, covenants and agreements contained, and the consideration described, in this Supplemental Release and the Agreement, and in order to be eligible for the consideration in the Agreement, Employee does hereby agree as set forth below.

RELEASE AND WAIVER OF CLAIMS

1. Waiver of Discrimination Claims.

Employee understands and acknowledges that Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act, the Civil Rights Act of 1991, the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, the Americans with Disabilities Act of 1990, the Federal Family and Medical Leave Act of 1993, the California Family Rights Act of 1991, the California Fair Employment and Housing Act, and other statutes (collectively, “Acts”) provide Employee with the right to bring an action against the Employer if Employee believes he/she has been discriminated against based on race, ancestry, creed, color, religion, sex, marital status, national origin, age, status as an individual who has filed a claim for workers’ compensation benefits or who has sustained an industrial injury, status as a veteran of the Vietnam era, physical or mental handicap, and/or disability. Employee understands the rights afforded to him/her under these Acts and agrees that he/she will not bring any action against the Employer based on any alleged violation(s) of these Acts. Employee hereby waives any right to assert a claim for any relief under these or similar Acts, including but not limited to back pay, attorney fees, damages, reinstatement, and/or injunctive relief, arising out of his/her employment with the Employer or his/her retirement employment with the Employer.

2. General Release of All Claims.

Except as expressly set forth in this Supplemental Release, Employee shall and hereby does release and forever discharge the Employer, its predecessors, successors, heirs, executors, administrators, other present or former employees, council members, officers, agents, attorneys, directors, successors and assigns (collectively, “Released Parties”), from all claims related in any Attachment C
65320.00204\43887334.2
2 way to the transactions or occurrences between Employee and the Employer to date, to the fullest extent permitted by law. This release is intended to be interpreted broadly to apply to all transactions and occurrences between Employee and the Employer, including but not limited to any and all claims related to Employee’s employment and employment conditions with the Employer and all other losses, liabilities, claims, charges, demands and causes of action, known or unknown, suspected or unsuspected, arising directly or indirectly out of or in any way connected to Employee’s employment with the Employer or the retirement from such employment (collectively, “Released Claims”). Released Claims include, but are not limited to, any claim based in common law, the state or federal Constitution, state or federal statutes, all contract or tort claims (such as wrongful termination, constructive discharge, breach of contract, breach of the covenant of good faith and fair dealing, fraud, defamation, libel, invasion of privacy, and intentional or negligent infliction of emotional distress), and all related claims for physical injuries, illness or damage, and all claims for attorneys’ fees, costs and expenses, grievances, claims and/or appeals under federal or state law or due process.

However, nothing in this Supplemental Release shall be interpreted to waive Employee’s statutory rights under the California Labor Code (e.g. workers compensation), the California Unemployment Insurance Code, or the California Government Claims Act regarding defense of, and/or indemnity for, claims relating to acts committed within the course and scope of his/her employment.

3. Waiver of California Civil Code Section 1542.

In that connection, Employee realizes and acknowledges that one or more of the Released Claims may include losses sustained by that party on account of the other that are presently unknown or unsuspected, and that such losses as were sustained may give rise to additional losses and expenses in the future which are not now anticipated. Nevertheless, Employee acknowledges that this release has been negotiated and agreed upon and that in consideration for the rights and benefits under this Supplemental Release, Employee intends and hereby does release, acquit and forever discharge the Released Parties from any and all claims, including those that are unknown, unsuspected or unforeseen or that are presently unknown and unanticipated.

4. Age Discrimination Employment Act Waiver and Release, and Time to Sign and Revoke Supplemental Release.

Employee represents that he/she is over the age of 40 and is among those who are eligible 65320.00204\43887334.2
3 to participate in the Program. As required by Section 626(f)(1)(H)(ii) of Title 29 of the United States Code, a table summarizing the job titles and ages of all of the individuals eligible for the Program and those who are not eligible for the Program is attached hereto as Attachment 1.

Further, Employee acknowledges his/her waiver and release hereunder of any rights he/she may have under the Age Discrimination Employment Act (ADEA) is knowing and voluntary and that the consideration given for his/her waiver and release in this Supplemental Release is in addition to anything of value to which Employee was already entitled. Employee further acknowledges that he/she has been advised by this writing as required by the Older Workers Benefit Protection Act, that: (a) his/her waiver and release of rights in this Supplemental Release does not apply to any rights or claims that may arise after this Supplemental Release is executed; (b) he/she should consult with an attorney prior to executing this Supplemental Release; (c) he/she has had at least forty-five (45) calendar days from the date he/she receives this Supplemental Release to obtain the advice of counsel from the legal representative of his/her choice and to decide whether to sign it (although he/she may, by his/her own choice, execute this Supplemental Release earlier), and any negotiated revisions to the document after that date do not re-start this period; (d) he/she understands that for seven (7) calendar days after he/she signs this Supplemental Release he/she has the right to revoke it; and (e) the Supplemental Release shall not become effective and enforceable until the date upon which the revocation period has expired, which shall be the eighth day after the Supplemental Release is executed by Employee (“Effective Date”). If Employee chooses to revoke, notice must be sent to and received by the Employer’s HUMAN RESOURCES DEPARTMENT, by any of the following methods, by no later than the time frame referenced above (i.e., seven (7) calendar days after he/she signs this Supplemental Release):

A. In person, in a sealed envelope marked “CONFIDENTIAL” to the Front Desk Receptionist addressed to Rosario Pozzoli, Human Resources Manager; B. By mail, marked “CONFIDENTIAL” Rosario Pozzoli, Human Resources Manager, at City of Hawaiian Gardens, 21815 Pioneer Boulevard, Hawaiian Gardens, California, 90716; or
C. By electronic mail to Rosario Pozzoli, Human Resources Manager at mailto:[email protected] with a copy to [email protected].

Employee expressly waives his/her rights or claims under the Age Discrimination in Employment Act (ADEA) that arose prior to the date of execution of this Supplemental Release.
_____ Employee’s Initials

5. Warranty of No Filed Claims/Covenant Not to Sue.

A. Employee represents that he/she has not filed any complaint, grievance, claim, or action against the Employer or any of its council members, officers, agents, directors, employees, or representatives with any state, federal, or local agency, board, arbitrator, or court 65320.00204\43887334.2
4 based on any matters arising out of his/her employment with the Employer and/or his/her retirement from such employment, and that he/she will not do so at any time hereafter.

B. Employee further covenants not to sue or file any complaint, grievance, claim or action at any time hereafter based on any matters arising out of or in any way relating to his/her employment with the Employer, or retirement from such employment, that could have been filed as of the Effective Date of this Supplemental Release.

6. Neutral Interpretation, Mutual Drafting and Governing Law.

This Supplemental Release shall be deemed to have been jointly drafted by the parties and shall be governed by and construed in accordance with the laws of the State of California. Any uncertainty or ambiguity may not be interpreted for or against any one party. The headings contained in this Supplemental Release are for reference purposes only and shall not affect in any way the meaning or interpretation of this Supplemental Release.

7. No Assignment of Claims: Employee expressly warrants that he/she has not transferred to any other person or entity any of the rights or causes of action released in this Supplemental Release.

8. Severability and Waiver.

A. If any provision of this Supplemental Release is adjudicated by a court of competent jurisdiction to be invalid or unenforceable, the remainder of the Supplemental Release which can be given full force and effect without the invalid provision shall continue in full force and effect and shall in no way be impaired or invalidated.

B. Any of the terms or conditions of this Supplemental Release may be waived at any time by the party entitled to the benefit thereof, but no such waiver shall affect or impair the right of the waiving party to require observance, performance or satisfaction either of that term or condition as it applies on a subsequent occasion or of any other term or condition hereof.

9. Choice of Law; Venue of Actions; Costs and Fees.

This Supplemental Release shall be interpreted according to the laws of the State of California. Venue of any legal action shall be in Los Angeles County Superior Court. If any legal action is instituted to enforce any provision of this Supplemental Release, or because of an alleged dispute, breach, default or misrepresentation in connection with any of its provisions, the court shall award the prevailing party reasonable attorneys’ fees and other litigation costs incurred in that action, in addition to any other relief to which the prevailing party may be entitled. Nothing in this section shall prevent the parties from mutually agreeing to binding arbitration of any dispute, in which case the arbitrator may award attorneys’ fees and litigation costs to the prevailing as described above.

10. Voluntary Execution of Supplemental Release.

Employee represents that he/she has carefully read this entire Supplemental Release and that he/she knows and understands its contents. Employee has had the opportunity to receive 65320.00204\43887334.2
5 independent legal advice from attorneys of his/her choice with respect to the preparation, review, and advisability of executing this Supplemental Release. Employee further represents and acknowledges that he/she has freely and voluntarily executed this Supplemental Release after independent investigation and without fraud, duress, or undue influence, with a full understanding of the legal and binding effect of this Supplemental Release and with the approval of legal counsel, if any.

Date _______________, 2025
By: __________________________________
Name: __________________________________

Hawaiian Gardens City CouncilAugust 13, 2025

Hawaiian Gardens City Council
August 13, 2025