Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 11/18/2024
    TIME: 2010
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-6472
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Sacramento Area Sewer District
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=1,000 Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Over the past two weeks, an intermittent sewage overflow occurred from a residential drain cleanout. The homeowner contacted the Sacramento Area Sewer District earlier today, causing the dispatch of a crew. Upon arrival, technicians isolated the sewer line and determined that approximately 1,000 gallons of sewage had been discharged during the reported timeframe. This overflow affected the property as well as a public street storm drain, with the final destination of the discharge unknown. Cleanup of the affected surface areas was completed, but the release into the storm drain could not be recovered.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, Not containedYesStorm drainNo
l. MARITIME VESSEL
No		m. KNOWN IMPACT
Unknown
3. a. INCIDENT LOCATION: 5334 Cypress Avenue
b. CITY:c. COUNTY: d. ZIP:
Carmichael
Sacramento County95608SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
11/18/20241503 Residence Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
None
d. ADMIN. AGENCY: Sacramento 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, DFW-OSPR, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-6472 *********

Created by: Warning Center on: 11/18/2024 08:10:57 PM Last Modified by: Warning Center on: 11/18/2024 08:37:35 PM