Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/27/2024
    TIME: 1023
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7195
    NRC - 1419941
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Pacific Gas and Electric (PG&E)
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Natural Gas=Unknown N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC Report: "Caller reported a release of an unknown amount of natural gas from a 1 inch plastic service line. The cause of the release is unknown. Caller reported a house ignited at the scene. Caller reported no injuries or fatalities."

Remedial Actions: "The service line was shut off and isolated. Fire was extinguished."

Release Secured: "Yes"

INCIDENT DETAILS
Pipeline Type: SERVICE
DOT Regulated: YES
Pipeline Above/Below Ground: BELOW
Exposed or Under Water: NO
Pipeline Covered: UNKNOWN

IMPACT
Fire Involved: YES Fire Extinguished: YES

INJURIES: NO
FATALITIES: NO
EVACUATIONS: UNKNOWN
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoN/ANo
l. MARITIME VESSEL
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 103 Lawn Way
b. CITY:c. COUNTY: d. ZIP:
Capitola
Santa Cruz County95010MONTEREY BAY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/25/20240523 Residence Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoUnknownUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept., Police Dept.NRC
d. ADMIN. AGENCY: Santa Cruz County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

3
Cal OES Region: Coastal
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, FDC, Cal OES REG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. beck.blair@caloes.ca.gov
********* Control No: 24-7195 *********

Created by: Warning Center on: 12/27/2024 10:23:29 AM Last Modified by: Warning Center on: 12/27/2024 10:40:15 AM