Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 10/20/2024
    TIME: 1743
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5946
    NRC - 1414264
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
PG&E
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. Mineral Oil Non PCB=70 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, Due to a mechanical failure from a transformer 70 gallons of Non PCB mineral oil impacted a vault where the subserves structure holds the equipment. The release has been stopped and contained. Clean up is being conducted by a contractor. There was no impact to any other area.

Per NRC: Non-PCB mineral oil discharged from an electrical switch that is part of their electrical system due to a mechanical failure.
---Affected Medium:--- OTHER / THE VAULT THAT CONTAINS THE EQUIPMENT
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4021 Douglas Blvd
b. CITY:c. COUNTY: d. ZIP:
Roseville
Placer County95746PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
10/20/20240352 Merchant/Business Mechanical
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
NRC, Roseville FD
d. ADMIN. AGENCY: Roseville Fire Departmente. SEC. AGENCY: Placer County Environmental Health
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/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5946 *********

Created by: Warning Center on: 10/20/2024 05:43:12 PM Last Modified by: Warning Center on: 10/23/2024 09:09:02 AM