Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/23/2024
    TIME: 1316
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6581
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Folsom
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=45 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Release Due to a Storm Surge. Per the reporting party, due to a blockage and a storm surge, a main line backed up. The back pressure caused a clean out to overflow into the Storm Water System. The City of Folsom was notified of the overflow at 0930 in the morning. At 1030 the overflow was stopped and controlled. The sewage went into the Storm Water System and is unrecoverable. It is unknown where the storm drain leads. City of Folsom personnel cleared the blockage, and the line was restored to normal operations.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, OtherYesstorm drainNo
Detail for Other: Unrecoverable
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1600 Canyon Terrace Lane
b. CITY:c. COUNTY: d. ZIP:
Folsom
Sacramento County95630SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/23/20240930 Residence Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
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, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6581 *********

Created by: Warning Center on: 11/23/2024 01:16:45 PM Last Modified by: Warning Center on: 11/23/2024 01:39:27 PM