Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/14/2023
    TIME: 1633
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-5917
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Whiskeytown National Recreation Area-Northern California
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. Untreated waste water<300 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP stated, Contractors flushed out a two inch (2") water line and four inch (4") fire suppression line which led to a release. The release was approximately 300 gallons of untreated waste water which went onto soil due to an overflow. The release was stopped, contained through a berm, no waterways impacted, and clean up was conducted. The NRC will not be contacted and OES will not be contacted in regards to updates to this release.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNo
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 12493 State Hwy 299 West
b. CITY:c. COUNTY: d. ZIP:
Whiskeytown
Shasta County96095SHASTA COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/14/20231430 Other
Description for Other : Recreation Area		Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Whiskeytown National Recreational Area - Facilities Management, Whiskeytown National Recreational Area - Hydrologist, Whiskeytown National Recreational Area - Environmental Protection SpecialistWhiskeytown National Recreational Area - Facilities Management, Whiskeytown National Recreational Area - Hydrologist, Whiskeytown National Recreational Area - Environmental Protection Specialist, CA Regional Water Board
d. ADMIN. AGENCY: Shasta County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5A
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, LANDS, PARKS & REC, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-5917 *********

Created by: Warning Center on: 09/14/2023 04:33:33 PM Last Modified by: Warning Center on: 09/14/2023 04:58:06 PM