Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 01/31/2023
    TIME: 1030
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0857
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Folsom State Prison
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. Septic Sewage=4,320 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: ***Historical Report***

Reporting party states that a 12-inch line backed up and overflowed approximately 4,320 gallons of sewage into a field about 0.5 mile from the American River on 01/26/2023.


h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedUnknownUnknown, near American RiverNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Folsom Prison Minimum Security Facility
b. CITY:c. COUNTY: d. ZIP:
Folsom
Sacramento County95671SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/26/202312:00 Other
Description for Other : Folsom State Prison		Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Folsom Prison Fire Dept.
d. ADMIN. AGENCY: Folsom Fire Departmente. SEC. AGENCY: Sacramento County Environmental Management
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: 23-0857 *********

Created by: Warning Center on: 01/31/2023 10:30:02 AM Last Modified by: Warning Center on: 01/31/2023 10:51:33 AM