Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/11/2024
    TIME: 1209
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2143
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Angels Camp
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. Sewage=1,500 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the Reporting Party : A sewer line blocked by root intrusion overflowed via a man hole into the street then into a drainage ditch and a field. The drainage ditch does not lead to any type of surface water. The release has been stopped and contained. Clean was conducted using hydro-vac, shovel/rake and disinfectant. No waterways were affected and no roadway closures.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 280 Live Oak Drive (to rear of location)
b. CITY:c. COUNTY: d. ZIP:
Angels Camp
Calaveras County95222CALAVERAS COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/11/20240808 Road Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoResponsible Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Calaveras Co. Office of Emergency Servicese. 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, CDPH-D.O., Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2143 *********

Created by: Warning Center on: 04/11/2024 12:09:21 PM Last Modified by: Warning Center on: 04/11/2024 12:17:39 PM