Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/15/2023
    TIME: 0409
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-1893
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Lake Arrowhead Community Services 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. Water, Tertiary (Final stage)=600 Gal(s)SEWAGENoNo
2. Effluent, Final (Disinfection completed)=900 Gal(s)SEWAGENoNo
3. = NoNo
g. DESCRIPTION: Inclement weather overwhelmed the facility system resulting in a release of the listed substances. The release is ongoing and has impacted a nearby creek (name unknown). A cleanup of the release is unlikely due to the heavy rains.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesCreek (name unknown)No
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 27000 Private Rock Road
b. CITY:c. COUNTY: d. ZIP:
Lake Arrowhead
San Bernardino CountySOUTH COAST AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/15/20230345 Treatment/Sewage Facility Other
Description for Other : Inclement weather
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: San Bernardino County Fire Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-1893 *********

Created by: Warning Center on: 03/15/2023 04:09:06 AM Last Modified by: Warning Center on: 03/15/2023 04:27:49 AM