Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 12/05/2023
    TIME: 1838
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-7472
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
City of Lincoln Fire Department
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. Fire, Construction Equipment (motor oils)=1 N/AOTHERAutomatic Paving Equipment Cleaning System (APECS)NoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The Lincoln City Fire Department responded to a service call at the specified business address, where they encountered an active fire within a metal outbuilding. An initial investigation revealed that the fire originated from a mechanical failure in an automatic paving equipment cleaning system. The fire has continued, but there have been no reported injuries among personnel, and evacuations were not necessary. Efforts are underway to manage the firefighting water run-off, ensuring containment within the facility's water collection system. The owner is present and will coordinate the cleanup response.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, ContainedNoNoneNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 2788 Venture Drive
b. CITY:c. COUNTY: d. ZIP:
Lincoln
Placer County95648PLACER COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
12/05/20231647 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.None
d. ADMIN. AGENCY: Placer County Environmental Healthe. 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, DFW-OSPR, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-7472 *********

Created by: Warning Center on: 12/05/2023 06:38:50 PM Last Modified by: Warning Center on: 12/05/2023 07:11:24 PM