Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/10/2024
    TIME: 0951
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3317
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Caller
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. Oil=Unknown Gal(s)PETROLEUMNoNo
2. Diesel=Unknown Gal(s)PETROLEUMNoNo
3. Hydraulic=Unknown Gal(s)PETROLEUMNoNo
g. DESCRIPTION: *** Potential Release ***

Per the reporting party: An excavator has been found submerged in Rollins Lake about six (6) feet from the shore line near the Greenhorn boat launch and the RP's property off of You Bet Rd in Grass Valley California.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesRollins LakeYes
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 21347 You Bet Road
b. CITY:c. COUNTY: d. ZIP:
Colfax
Placer CountyPLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/09/20241200 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
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, 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: 24-3317 *********

Created by: Warning Center on: 06/10/2024 09:51:52 AM Last Modified by: Warning Center on: 06/10/2024 11:32:47 AM