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The report should include the following information: <br />a. Name, address, and telephone number of facility manager. <br />b. Na,---, address, and telephone number of facility. <br />c. Date, time, and type of incident (e.g., fire, explosion, spill, etc.). <br />d. Name and quantity of waste(s) involved. <br />e. Th -1- extent of injuries, if any. <br />f. An assessment of actual or potential hazards to human health or the <br />environment, where applicable. <br />g. Estimated quantity and disposition of recovered wastes and cleanup <br />mate, al. <br />5-18 <br />