Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 09/29/2022
TIME: 1522
RECEIVED BY: CONTROL#:
Cal OES - 22-5741
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
DWR
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. Fuel - Diesel Type=Unk Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: **HISTORICAL REPORT** During excavation for construction of the Lower Elkhorn Basin Levy Setback Project the material was discovered, material had permeated the soil in more than a 10' square area, this was possibly due to a former leaking above ground storage tank, unknown who is performing clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 18908 County Rd 122
b. CITY:c. COUNTY: d. ZIP:
West Sacramento
Yolo County95691YOLO/SOLANO AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/27/20221000 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
OtherDWRYolo Co EH
d. ADMIN. AGENCY: Yolo County Office of Emergency Servicese. 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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-5741 *********

Created by: Warning Center on: 09/29/2022 03:22:03 PM Last Modified by: Warning Center on: 09/29/2022 03:35:23 PM