Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/20/2023
    TIME: 1424
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-6044
    NRC - 1379650
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:
PRIVATE CITIZEN
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. UNKNOWN OIL=Unknown Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: PER NRC: CALLER IS REPORTING THAT A VEHICLE PARKED IN THE PARKING LOT AT THE APARTMENT COMPLEX LISTED WAS LEAKING AN UNKNOWN OIL ONTO THE ASPHALT. CALLER STATED SINCE THEN THE VEHICLE HAS MOVED AND THE OIL IS ON THE ASPHALT AND GOING INTO A NEARBY STORM DRAIN.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesStorm DrainNo
l. MARITIME VESSEL
m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 2728 ELVYRA WAY
b. CITY:c. COUNTY: d. ZIP:
Sacramento
Sacramento County95821SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/20/20231350 Residence, Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Sacramento City Fire Departmente. SEC. AGENCY: Sacramento County Environmental Management
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, PARKS & REC, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-6044 *********

Created by: Warning Center on: 09/20/2023 02:24:14 PM Last Modified by: Warning Center on: 09/20/2023 02:44:48 PM