Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/30/2023
    TIME: 1058
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-3527
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
El Dorado Disposal
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. Coolant=10 Gal(s)CHEMICALNoNo
2. Hydraulic Oil=25 Gal(s)PETROLEUMNoNo
3. = NoNo
g. DESCRIPTION: A third-party contractor (towing company) hitched a vehicle incorrectly and broke lines causing the release onto the asphalt. No waterways were impacted, no road closures reported. A contractor has been dispatched to conduct a clean-up.
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: Highway 49 and Truck Street
b. CITY:c. COUNTY: d. ZIP:
Placerville
El Dorado County95667EL DORADO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/30/20231000 Road Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Cal Trans, CHP
d. ADMIN. AGENCY: El Dorado County Environmental Managemente. 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, CALTRANS, CHP, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-3527 *********

Created by: Warning Center on: 05/30/2023 10:58:59 AM Last Modified by: Warning Center on: 05/30/2023 11:10:26 AM