Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/13/2024
    TIME: 0850
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6943
    NRC - 1418791
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
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. Unknown=Unknown UnknownUNSPECIFIEDNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC: The caller reported an unknown amount of an unknown oil from an unknown source on a residential street at the incident location.
---Incident details---Type of fixed object: other, power generating facility: unknown
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Penaranda Dr near School St.
b. CITY:c. COUNTY: d. ZIP:
Folsom
Sacramento County95630SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/13/20240820 Other
Description for Other : Land/ Asphalt		Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6943 *********

Created by: Warning Center on: 12/13/2024 08:50:42 AM Last Modified by: Warning Center on: 12/13/2024 09:03:19 AM