Governor's Office Emergency Services |
TIME: 2142 |
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Cal OES - 23-7474 NRC - |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
| San Mateo County Public Works Sewer Department | | | |
| 1. NAME: | 2. AGENCY: | 3. PHONE#: | 4. Ext: | 5. PAG/CELL: |
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| 2. a. SUBSTANCE: | b.QTY:>=< | Amount | Measure | c. TYPE: | d. OTHER: | e. PIPELINE | f. VESSEL >= 300 Tons |
| 1. Sewage | = | Unknown | Unknown | SEWAGE | No | No | |
| 2. | = | No | No | ||||
| 3. | = | No | No |
| g. DESCRIPTION: | Per reporting party there was an overflow from a private lateral and a toilet at the given location. It is unknown at the time of the report how much sewage was released or what caused the overflow to happen. The release impacted the carpet and tile inside the home. The release also impacted the soil, dirt, pavement, and storm drain at the given location. The release is stopped and contained. A contractor will conduct the clean up. The reporting party will provide updates of the amount released when available. | ||
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| h. STOPPAGE/CONTAINMENT: | i. WATER INVOLVED: | j. WATERWAY: | k. DRINKING WATER IMPACTED |
| Stopped, Contained | Yes | Storm Drain | No |
| | | |
| l. MARITIME VESSEL No | | m. KNOWN IMPACT None | |
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| 3. a. INCIDENT LOCATION: 135 Valdeflores Drive | |||
| b. CITY: | c. COUNTY: | d. ZIP: | |
| | | |
| Burlingame | San Mateo County | 94010 | BAY AREA AQMD |
| 4. INCIDENT DESCRIPTION: | |||
| a. DATE: | b. TIME (Military): | c. SITE: | d. REPORTED CAUSE |
| 12/05/2023 | 1910 | Residence | Unknown |
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| e. INJURIES | f. FATALITY | g. EVACUATION | h. CLEANUP BY: |
| No | No | No | Contractor |
| 6. NOTIFICATION INFORMATION: | ||
| a. ON SCENE: | b. OTHER ON SCENE: | c. OTHER NOTIFIED: |
| d. ADMIN. AGENCY: San Mateo County Environmental Health | | e. SEC. AGENCY: |
| f. ADDITIONAL COUNTY: | | g. ADMIN. AGENCY: |
| h. NOTIFICATION LIST: | | |
| Cal GEM: | RWQCB Unit: | 2 |
| Cal OES Region: | | |
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| Photo Attachment: | |