Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/22/2022
TIME: 1457
RECEIVED BY: CONTROL#:
Cal OES - 22-6881
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
El Dorado Irrigation District
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. Drilling Polymer =64 Oz.UNSPECIFIEDACCU-VIS – LIQUID DRILLING FLUID POLYMERNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP States: During drill boring activities it was noticed that the drilling polymer was seeping from the seep drain into the Silver Fork American River. The drilling polymer that entered the river was unrecoverable.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesSilver Fork American RiverNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 38.668480, -120.121770 (Near Silver Lake Dam)
b. CITY:c. COUNTY: d. ZIP:
Unincorporated county area Amador
Amador CountyAMADOR COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/22/20221330 Other
Description for Other : Silver Lake Dam
Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Amador 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., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6881 *********

Created by: Warning Center on: 11/22/2022 02:57:48 PM Last Modified by: Warning Center on: 11/22/2022 03:15:20 PM