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RLQUIRED SPILL REPORT INFORM, ION <br />When making a telephone report to the State Emergency Reporting Agency, the notifier <br />should be prepared to provide the following information, if possible: <br />(a) the date and time of the spill or release; <br />(b) the identity or chemical name Qf material released or spilled as well as whether the <br />substance is an extremely hazardous substance; <br />(c) an estimate of the quantity of material released or spilled and the time or duration of the <br />event, <br />(d) the exact location of the spill, including the name of the waters involved or threatened, <br />and/or other medium or media affected by the release or spill; <br />(e) the source of the spill, <br />(f) the name, address, and telephone number of the party in charge of, or responsible for, the <br />facility or activity associated with the release or spill; <br />(g) the extent of actual and potential water pollution; <br />(h) the party at the release of spill site who is in charge of operations at the site and the <br />telephone number of this party; <br />(1) the steps being taken or proposed to contain and clean up the released or spilled material <br />and any precautions taken to minimize impacts including evacuation; <br />0) the extent of injuries, if any; <br />(k) any known or anticipated health risks associated with the incident and, where appropriate, <br />advice regarding medical attention necessary for exposed individuals; <br />his <br />nt <br />(I) possible hazareferds to ences <br />ed tchemiical, databasedlifMaterialTSafetysDataeSheets <br />include refer p <br />(MSDSs), and health advisories; and, <br />(m) identity of governmental and/or private sector representatives responding on -scene. <br />The state agency will provide information regarding written follow-up procedures upon <br />request. <br />The Governor's Office of Emergency Services <br />Hazardous Materials Unit <br />P.O. Box 419047 <br />Rancho Cordova, CA 95741-9047 <br />