Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/06/2024
    TIME: 1131
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6792
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Clearlake Oaks County Water District
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Clearlake Oaks County Water District
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Sewage=2500 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per Reporting Party: A broken 4" inch sewer pipe caused the release of 2500 gallons of sewage onto an empty dirt field. It is an aging infrastructure pipe. Suspected break due to earthquake activity. The spill has been stopped and contained. No waterways were impacted. Clean up is currently being conducted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1111 Sulphur Bank Drive
b. CITY:c. COUNTY: d. ZIP:
Clearlake Oaks
Lake County95423LAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/06/20241100 hours Other
Description for Other : Empty dirt field		Broken Pipe
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Lake County Health Departmente. 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, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6792 *********

Created by: Warning Center on: 12/06/2024 11:31:55 AM Last Modified by: Warning Center on: 12/06/2024 11:48:04 AM