Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 04/17/2024
    TIME: 1156
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-2260
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Lake County 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. Kerosene-water mixture=50 Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting individual mentioned that 50 gallons of a kerosene-water mixture spilled onto the street, and 40 gallons of this mixture entered the storm drain due to a water pump at a residential property. The spill has been contained and stopped. The Department of Water and Power (DWP) arrived at the scene to implement measures preventing further flow into the storm drain. No nearby waterways were affected. A third-party contractor has been tasked with cleaning up the spill.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 105 South Starr st.
b. CITY:c. COUNTY: d. ZIP:
Lakeport
Lake CountyLAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/17/20241000 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
DWP, EH
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:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-2260 *********

Created by: Warning Center on: 04/17/2024 11:56:42 AM Last Modified by: Warning Center on: 04/17/2024 12:11:44 PM