Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 11/28/2022
TIME: 1552
RECEIVED BY: CONTROL#:
Cal OES - 22-6984
NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Grizzly Lake CSD
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. Raw sewage =150-200 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller states at the treatment plant a bear ripped a 6 inch pipe and caused a release of 150-200 gallons of sewage to release onto vegetation. Release is stopped and contained with no waterways impacted. Reporting party will be conducting cleanup of released material.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: LAT 39.5229.63 N LONG 120.2719.88 W
b. CITY:c. COUNTY: d. ZIP:
Portola
Plumas CountyNORTHERN SIERRA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/28/20221500 Treatment/Sewage Facility Other
Description for Other : Wildlife
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
RWQCB, CUPA
d. ADMIN. AGENCY: e. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 22-6984 *********

Created by: Warning Center on: 11/28/2022 03:52:38 PM Last Modified by: Warning Center on: 11/28/2022 04:11:19 PM