Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/17/2023
    TIME: 2248
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5978
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
El Dorado Irrigation 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. Waste Water=Unknown Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per caller became aware of Potable Water leaking around 2054. Caller believes its force main break from waste water and has not entered waterway. Waste District mobilized contractor's for cleanup and repair. Contractors conducting flow control and mitigation using sandbags and hoses to remove the substance from the roadway. Spill is currently ongoing, caller stated that at time of report the waste water had not made contact with water but closest body of water was Folsom Lake.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: West of Green Valley Road and Francisco Drive
b. CITY:c. COUNTY: d. ZIP:
El Dorado Hills
El Dorado County95762EL DORADO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/17/20232054 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
OtherEngineering Contractors
d. ADMIN. AGENCY: El Dorado County Environmental Managemente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5978 *********

Created by: Warning Center on: 09/17/2023 10:48:21 PM Last Modified by: Warning Center on: 09/17/2023 11:18:12 PM