Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 03/27/2023
    TIME: 1908
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-2252
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Nevada Co EH
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. Vehicle Fluids=5-10 Gal(s)CHEMICAL, PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Caller stated the release is due to old auto motive materials being knocked over at a closed down business. The released material is impacting the ground but there is a nearby waterway that could eventually be impacted if the release is not cleaned up. Per RP tarps have been deployed to cover the material and prevent any rain from spreading the release.

Per the RP the real estate agent for the property is attempting to clean up the release himself, Co EH has been in contact with the individual in regards to proper procedures for cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
StoppedNoNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 22972 Nola Court / City - Auburn
b. CITY:c. COUNTY: d. ZIP:
Unincorporated county area Nevada West of Donner Lake
Nevada CountyNORTHERN SIERRA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
03/27/20231300 Merchant/Business Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Co Health
d. ADMIN. AGENCY: Nevada County Environmental Health Departmente. SEC. AGENCY:
f. ADDITIONAL COUNTY: Nevada County g. ADMIN. AGENCY: Nevada County Environmental Health Department
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: 23-2252 *********

Created by: Warning Center on: 03/27/2023 07:08:55 PM Last Modified by: Warning Center on: 03/27/2023 07:21:14 PM