Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/23/2024
    TIME: 1806
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7155
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Western Placer Waste Management Authority
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=100 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: A sewage overflow from a utility hole was reported near the listed address. In response, the Western Placer Waste Management Authority was notified, and a service crew was dispatched. Upon arrival, technicians isolated the affected area and conducted an assessment. The blockage was traced to a mechanical part, which was removed from the line, restoring normal flow without further issues. The Sewer and Water Services Department also assisted with the call and completed the cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3133 Fiddyment Road
b. CITY:c. COUNTY: d. ZIP:
Lincoln
Placer County95648PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/23/20241037 Merchant/Business Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: Placer County Environmental Healthe. 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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-7155 *********

Created by: Warning Center on: 12/23/2024 06:06:33 PM Last Modified by: Warning Center on: 12/23/2024 06:38:34 PM