Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/04/2024
    TIME: 1415
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6759
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Lakeport Utilities
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. Treated water(drinking water) =100 Gal(s)OTHERdrinking waterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: Due to contractor digging, an underground line was hit causing a release of about 100 gallons of drinking water out to the street and into a nearby storm drain. The release was controlled within 15 minutes. Swaddles were placed to absorb the water. The storm drain leads to Clear Lake
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedYesStorm drain No
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Forbes St at Martin St
b. CITY:c. COUNTY: d. ZIP:
Lakeport
Lake County95453LAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/04/20241236 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoNA
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
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, DFW-OSPR, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6759 *********

Created by: Warning Center on: 12/04/2024 02:15:24 PM Last Modified by: Warning Center on: 12/04/2024 02:29:49 PM