Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/21/2023
    TIME: 2159
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-2100
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Lake County Special 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. Sewage=90,000 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A coupler on a 16 inch force main failed resulting in a 90,000 gallon sewage release (ongoing). The incident occurred in the vicinity of a lift station and impacted the surrounding surface areas and Burns Creek. Crews from the Lake County Special District are on-scene and an excavation is in progress. City personnel are assisting on the call. Traffic is being redirected and signs have been posted. In addition, several sewer pump trucks were dispatched to the site.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesBurns CreekNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 14938 Burns Valley Road
b. CITY:c. COUNTY: d. ZIP:
Clearlake
Lake CountyLAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/21/20231800 Other
Description for Other : Lift station
Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
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, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-2100 *********

Created by: Warning Center on: 03/21/2023 09:59:21 PM Last Modified by: Warning Center on: 03/21/2023 10:56:28 PM