Governor's Office Emergency Services |
TIME: 1821 |
|
Cal OES - 23-7215 NRC - |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
PG&E |
1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
1. Mineral Oil "Unknown PCB" | = | 1 | Qt.(s) | PETROLEUM | No | No | |
2. | = | No | No | ||||
3. | = | No | No |
g. DESCRIPTION: | Per Reporting Party: Equipment failure on a overhead transformer caused Mineral Oil to spill onto the soil below and possibly leak into a seasonal drainage creek. PG&E performed the repair and a contractor performed the clean up. | ||
h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
Stopped, Contained | Yes | Unknown creek | No |
l. MARITIME VESSEL | m. KNOWN IMPACT None | ||
3. a. INCIDENT LOCATION: 17820 Hwy 49 | |||
b. CITY: | c. COUNTY: | d. ZIP: | |
Plymouth | Amador County | 95669 | AMADOR COUNTY APCD |
4. INCIDENT DESCRIPTION: | |||
a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
11/20/2023 | 1234 | Other Description for Other : In a field next to the drainage | Mechanical |
e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
No | No | No | Contractor |
6. NOTIFICATION INFORMATION: | ||
a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
N/A |
d. ADMIN. AGENCY: Amador County Environmental Health | e. SEC. AGENCY: | |
f. ADDITIONAL COUNTY: | g. ADMIN. AGENCY: | |
h. NOTIFICATION LIST: | ||
Cal GEM: | RWQCB Unit: | 5B |
Cal OES Region: | ||
Photo Attachment: |