Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/10/2024
    TIME: 0833
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5097
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PG&E
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. Transformer Oil (Unknown PCB)=8 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, due to a wildland fire that damaged the pole, the transformer fell and released approximately 8 gallons of oil, which may contain PCB, into the soil. The release has been stopped and contained. A contractor will handle the cleanup, and the oil will be analyzed for PCB. The reporting party will provide an update once the results are available.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 16076 14th Ave
b. CITY:c. COUNTY: d. ZIP:
Clearlake
Lake County95422LAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/10/20241000 Residence Other
Description for Other : Fire
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CALFIRE, Police Dept., Sheriff Ofc.
d. ADMIN. AGENCY: Lake County Health Departmente. 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, CALFIRE, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5097 *********

Created by: Warning Center on: 09/10/2024 08:33:25 AM Last Modified by: Warning Center on: 09/10/2024 08:42:09 AM