Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 01/27/2023
    TIME: 1432
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0791
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Sacramento County Environmental Management Dept
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. Oil mixed w/ Storm Water=2500 Gal(s)PETROLEUMNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: The reporting party states water pooled at the listed facility's address due to the storm. Caller believes a used oil drum was intentionally tipped over, contaminating the stormwater and releasing it into private storm drains on the premise.The caller is reporting the spill on behalf of the property owner. Property owner has hired contractor for clean up.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Stopped, ContainedYesPrivate Storm DrainNo
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 7475 14th Ave
b. CITY:c. COUNTY: d. ZIP:
Sacramento
Sacramento County95820SACRAMENTO METROPOLITAN AQMD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
01/20/20231200 Merchant/Business Other
Description for Other : Natural Phenomenon
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoContractor
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
City of Sacramento Public Works
d. ADMIN. AGENCY: Sacramento City Fire Departmente. SEC. AGENCY: Sacramento County Environmental Management
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, CDPH-D.O., LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0791 *********

Created by: Warning Center on: 01/27/2023 02:32:20 PM Last Modified by: Warning Center on: 01/27/2023 03:06:55 PM