Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 06/17/2024
    TIME: 1508
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3457
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Clear Lake Oaks County Water District
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. Treated Water=2,000 Gal(s)OTHERTreated WaterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the reporting party: A six (6) inch AC main water line broke and released 2,000 gallons of treated water onto the street and into a storm drain which leads to Clear Lake. There is a boil water notice for 32 homes which will last for 4 business days , two negative lab results are need to lift the notice .This release has been stopped, contained, and controlled at 1110 hours on 06-17-24. Personnel from Clear Lake Oaks County Water District are currently on site making repairs to the line.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm drain / Clear lakeYes
l. MARITIME VESSEL
m. KNOWN IMPACT
Boil Water Notice
3. a. INCIDENT LOCATION: 653 Spinnaker Ct
b. CITY:c. COUNTY: d. ZIP:
Clearlake Oaks
Lake County95423LAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
06/17/20241100 Residence Broken Pipe
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnrecoverable
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Lake County Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region: Coastal
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, CDPH-D.O., CSWC Managers, DWP-DO, LANDS, EDO, FDC, Cal OES REG, LDO, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. brian.buckhout@caloes.ca.gov, byron.green@caloes.ca.gov
********* Control No: 24-3457 *********

Created by: Warning Center on: 06/17/2024 03:08:03 PM Last Modified by: Warning Center on: 06/17/2024 03:38:06 PM