Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/24/2024
    TIME: 1249
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2988
    NRC - 1399893
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
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 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The caller reported dumping of an unknown amount of sewage from a pipe into Wolf Creek at the incident location. No remedial actions have been taken, it is unknown if release is secured.

---WATER INFORMATION---
Body of Water: WOLF CREEK
Water Supply Contaminated: UNKNOWN
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedUnknownWolf CreekUnknown
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 556 Freeman Lane, Approximately 100 yards from the address provided
b. CITY:c. COUNTY: d. ZIP:
Grass Valley
Nevada CountyNORTHERN SIERRA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/24/20241600 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Nevada County Environmental 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, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2988 *********

Created by: Warning Center on: 05/24/2024 12:49:49 PM Last Modified by: Warning Center on: 05/24/2024 01:30:56 PM