Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/03/2023
    TIME: 2139
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0953
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Mountain House Community Services 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=50-70 gallons per minute Gal(s)SEWAGENoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: RP states, Due to a blockage of a main sewage line has caused a release of 50 to 70 gallons per minute. The release has not been stopped and no containment has been established. All of the release is entering a storm drain which flows to Mountain House Creek. No drinking water will be impacted by this incident. The reporting party will be conducting cleanup of the release.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Not stopped, Not containedYesStorm Drain - Mountain House CreekNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: Intersection of Mustang Dr x Prosperity Dr.
b. CITY:c. COUNTY: d. ZIP:
Mountain House
San Joaquin County95391SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/03/20232114 Road Blockage
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoReporting Party
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Fire Dept.
d. ADMIN. AGENCY: San Joaquin County Environmental Healthe. SEC. AGENCY:
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5B
Cal OES Region: Inland
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, LANDS, EDO, Cal OES REG, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg. jasen.vela@caloes.ca.gov, reuben.armenta@caloes.ca.gov
********* Control No: 23-0953 *********

Created by: Warning Center on: 02/03/2023 09:39:47 PM Last Modified by: Warning Center on: 02/03/2023 09:50:02 PM