Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/04/2024
    TIME: 1800
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3812
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Nevada County Sheriffs Dept.
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. 1 fatality =n/a N/AOTHER1 fatalityNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, a deceased male was found in the Yuba river at the coordinates given. The deceased male has been recovered from the waterway. No further hazards or injuries reported at this time.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesYuba River Yes
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 39.172863804244194, -121.52825029650649
b. CITY:c. COUNTY: d. ZIP:
Penn Valley
Nevada CountyNORTHERN SIERRA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/04/20241550 Waterways Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoYes
Fatals #: 1		NoFire Dept.
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
CHP, Fire Dept., Sheriff Ofc.
d. ADMIN. AGENCY: Nevada County Environmental 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/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3812 *********

Created by: Warning Center on: 07/04/2024 06:00:44 PM Last Modified by: Warning Center on: 07/04/2024 06:12:22 PM