Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/09/2024
    TIME: 0751
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3898
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Novato
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. Concrete mix=Unknown UnknownOTHERConcrete mixNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting party stated they received a report of grey water coming out of an outfall. They responded with sandbags. After investigation, they found that the release was coming from a construction site. An unknown amount of concrete mix was impacting a storm drain and Vineyard Creek. The release has been stopped and contained, but it is unknown who will conduct the cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm Drain, Vineyard CreekNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 137 Vida Ct
b. CITY:c. COUNTY: d. ZIP:
Novato
Marin County94947BAY AREA AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/08/20241500 Residence Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Marin County Storm Water Pollution Prevention Program
d. ADMIN. AGENCY: Marin County Waste Management Officee. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

2
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3898 *********

Created by: Warning Center on: 07/09/2024 07:51:04 AM Last Modified by: Warning Center on: 07/09/2024 08:12:34 AM