Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/19/2024
    TIME: 1638
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-7093
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Placerville Airport
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. POTENTIAL RELEASE - LOW-LEAD AV GAS=N/A N/APETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: ***Potential Release***

The reporting party states that a pilot was coming in on runway 5 and collapsed on the edge of the runway. There was no release found at the incident site. The El Dorado County Sheriff is on the scene. There are no unmet needs and no injuries.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherNoNoneNo
Detail for Other: Potential Release
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 3501 Airport Rd
b. CITY:c. COUNTY: d. ZIP:
Placerville
El Dorado County95667EL DORADO COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/19/20241632 Airport Human Error
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoNone
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Sheriff Ofc.
d. ADMIN. AGENCY: El Dorado County Environmental Managemente. SEC. AGENCY:
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: 24-7093 *********

Created by: Warning Center on: 12/19/2024 04:38:07 PM Last Modified by: Warning Center on: 12/19/2024 04:50:44 PM