Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/19/2024
    TIME: 1749
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5932
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Rowcal Management
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=Unknown Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, Due to a blockage, an unknown amount of sewage has entered the storm drain system. The city of Santa Clara is on-site to service the pipe, and Aquatech is coordinating with a contractor, Able Sceptic Sewage and Drain, to carry out cleanup procedures. A vacuum truck will be used to flush out the main line.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm DrainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3705 Terstena Place unit 212
b. CITY:c. COUNTY: d. ZIP:
Santa Clara
Santa Clara County95051BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/19/202416365 Residence Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
City of Santa Clara
d. ADMIN. AGENCY: Santa Clara City Fire Departmente. SEC. AGENCY: Santa Clara County Department of Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5932 *********

Created by: Warning Center on: 10/19/2024 05:49:29 PM Last Modified by: Warning Center on: 10/19/2024 06:10:20 PM