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Figure 2 <br /> Page 1 of 2 <br /> SPILT REPORT <br /> 1 . LOCATION: <br /> 2 . REPORTED BY: <br /> 3 . TIME AND DATE OF SPILL: <br /> 4. TIME AND DATE SPILL WAS REPORTED TO ONE OF THE FOLLOWING <br /> PERSONS: <br /> Time Date <br /> A. Plant Superintendent <br /> B. General Manager <br /> _ <br /> S . SOURCE OF SPILL: <br /> 6 . TYPE & AMOUNT OF SUBSTANCE SPILLED: TYPE <br /> AMOUNT DURATION OF SPILL <br /> 7 . AMOUNT THAT REACHED SURFACE WATERS: <br /> WATERBODY: <br /> (Attach MSDS for substance spilled) <br /> 8. PORTION OF WATERBODY AFFECTED: <br /> 9. ACTION TAKEN TO CONTAIN SPILL: <br /> 10 . ACTION TAKEN TO CLEAN UP SPILL: <br /> 11. WHO IS IN CHARGE OF SPILL: <br /> 12 . IS THERE A HEALTH OR FIRE HAZARD? YES NO IF YES , WHAT <br /> IS BEING DONE ABOUT IT? <br /> - 14 <br />