Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/12/2024
    TIME: 1215
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3367
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Heritage Ranch Community Services District
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Sewage=200 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Personnel from the listed district office responded to a sewer main overflow at the listed location. Upon arrival, technicians identified a sewer main blockage as the source of the incident. Approximately 200 gallons of sewage flowed from a utility hole cover into a nearby storm drain leading to Lake Nacimiento. Technicians cleared the blockage, restored the flow, and stopped the release. Cleanup of all impacted surfaces was completed without further incident. The sewage released into the storm drain was unrecoverable.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesStorm drain/ Lake NacimientoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4597 Creekside Lane
b. CITY:c. COUNTY: d. ZIP:
Paso Robles
San Luis Obispo County93446SAN LUIS OBISPO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/12/20240731 Residence Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: San Luis Obispo County Public Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3367 *********

Created by: Warning Center on: 06/12/2024 12:15:16 PM Last Modified by: Warning Center on: 06/12/2024 12:42:38 PM