Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 08/09/2024
    TIME: 1428
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-4504
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Fresno County Punblic Works
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 =Unknown UnknownSEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a lift station pump failure has resulted in an ongoing release of an unknown amount of sewage onto the side of the highway. At this time, no waterways have been impacted. Cleanup efforts have not yet been coordinated.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Highway 168 Next to Ken Market - 42137 Tollhouse Rd
b. CITY:c. COUNTY: d. ZIP:
Shaver Lake
Fresno CountySAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
08/09/20241400 Road Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Waterboards
d. ADMIN. AGENCY: Fresno County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
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: 24-4504 *********

Created by: Warning Center on: 08/09/2024 02:28:19 PM Last Modified by: Warning Center on: 08/09/2024 02:38:09 PM