Governor's Office Emergency Services
Hazardous Materials Spill Report

DATE: 04/27/2019
TIME: 1725
RECEIVED BY: CONTROL#:
Cal OES -
NRC - 1243948
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:
TAHOE KEYS MARINA
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. OIL=UNKNOWN SheenPETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per NRC report " CALLER IS REPORTING THE DISCOVERY OF A MYSTERY SHEEN FROM AN UNKNOWN SOURCE NEAR A MARINA ON LAKE TAHOE."
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stoppedYesWATER / LAKE TAHOEUnknown
l. KNOWN IMPACTUnknown
3. a. INCIDENT LOCATION: 2435 VENICE DRIVE EAST
b. CITY:c. COUNTY: d. ZIP:
Santa Barbara
Santa Barbara County96150SANTA BARBARA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
04/27/20191655 Waterways 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: Santa Barbara County Environmental Health Servicese. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
DOG Unit:
RWQCB Unit:
3
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFG-OSPR, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, USCG, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
********* Control No: *********

Created by: Warning Center on: 04/27/2019 05:25:16 PM Last Modified by: Warning Center on: 06/12/2019 02:37:25 PM