Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 10/04/2022
TIME: 1115
RECEIVED BY: CONTROL#:
Cal OES - 22-5841
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Kirkwood Mountain Resort
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. Transmission Fluid and Hydraulic Oil=15 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per caller, during maintenance on a snow cat, a drain plug fell off of the vehicle resulting in the release of the product on pavement and dirt. Stopped and contained. Kirkwood conducted clean up. No waterway's impacted. The maintenance shop is located in Amador County.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1501 Kirkwood Meadows Dr - Maintenance Shop
b. CITY:c. COUNTY: d. ZIP:
Unincorporated county area Amador
Amador County95646AMADOR COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/04/20220755 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Amador County Environmental Healthe. 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
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5841 *********

Created by: Warning Center on: 10/04/2022 11:15:38 AM Last Modified by: Warning Center on: 10/04/2022 11:23:26 AM