Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/09/2024
    TIME: 1756
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5095
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Southwest Gas
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. Gas, Natural=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The owner of a single-family residence reported that an unknown vehicle collided with and damaged the home's gas meter, causing a natural gas leak. There were no fires, injuries, or need for evacuations. Gas technicians were contacted and responded, isolating the service line and stopping the leak. Permanent repairs were made without further incident.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 2699 Knox Avenue
b. CITY:c. COUNTY: d. ZIP:
South Lake Tahoe
El Dorado County96150EL DORADO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/09/20241645 Residence Collision
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: El Dorado County Environmental Managemente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5095 *********

Created by: Warning Center on: 09/09/2024 05:56:53 PM Last Modified by: Warning Center on: 09/09/2024 06:25:04 PM