Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 05/16/2024
    TIME: 1429
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2811
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Southwest Gas
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. Natural gas=N/A N/AVAPORNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party: An unknown amount of natural gas was released out to the atmosphere when a 3rd party ( not Southwest Gas) hit a service line while excavating. The release started at 1401 hours and was controlled at 1420 hours. No injuries or waterways were impacted.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNoNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 1395 Sequoia Ave
b. CITY:c. COUNTY: d. ZIP:
Tahoe City
Placer County96146PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
05/16/20241401 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoN/a
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Placer County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

6A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, AIR RESOURCES BD, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2811 *********

Created by: Warning Center on: 05/16/2024 02:29:10 PM Last Modified by: Warning Center on: 05/16/2024 02:38:54 PM