Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/13/2024
    TIME: 1054
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5178
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Santa Rosa Water
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. Potable Water=331,000 Gal(s)OTHERDrinking WaterNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, A 12-inch water main pipe broke at a residence, resulting in the release of 331,000 gallons of potable water. The flow was stopped, and the water was directed into a storm drain that leads to the dry Piner Creek. The City of Santa Rosa has completed the cleanup. The release began at 0700 and was contained by 0730.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesStorm Drain/ Piner CreekNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4200 Thomas Lake Harris Dr
b. CITY:c. COUNTY: d. ZIP:
Santa Rosa
Sonoma County95403BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/13/20240700 Residence Broken Pipe
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: Santa Rosa Fire Departmente. SEC. AGENCY: Sonoma County Fire Services Department
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

1
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5178 *********

Created by: Warning Center on: 09/13/2024 10:54:01 AM Last Modified by: Warning Center on: 09/13/2024 11:05:06 AM