Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 09/27/2024
    TIME: 1032
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-5474
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Lake County Special Districts
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. Sewage=150 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per reporting party, Due to unknown reasons, approximately 150 gallons of sewage was released from a manhole cover. The sewage flowed onto the asphalt and subsequently entered a nearby storm drain, where it settled in a catch basin. The reporting party was notified just after 9:00 AM, and the release was stopped and controlled by 9:56 AM. The reporting party is actively working on the cleanup.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesStorm DrainNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Paulmer AVe and Golf Ave, 38 57 02 n/ 122 38 09 W
b. CITY:c. COUNTY: d. ZIP:
Clearlake
Lake County95422LAKE COUNTY AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
09/27/20240900 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
EH,
d. ADMIN. AGENCY: Lake County Health Departmente. 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
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-5474 *********

Created by: Warning Center on: 09/27/2024 10:32:31 AM Last Modified by: Warning Center on: 09/27/2024 10:39:37 AM