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HAZARDOUS MATERIALS INCIDENT, • • <br />11. Proper precautions, such as evacuation, fire fighting techniques, and personal protection <br />(escape gas masks and recommended <br />clothing): <br />12. Remedial actions that should be taken to control and/or mitigate the effects of the release: <br />13. Names and titles of persons contacted at regulatory groups: <br />14. Reference #'s assigned by regulatory groups: <br />IIM61 <br />State: <br />Local: <br />(Approving Authority, Name and Title) <br />A <br />Name of Regulatory Group/ <br />Employee/Contractor who made <br />Date <br />Time <br />Name and Title of Contact <br />contact <br />National <br />Response <br />Center <br />State <br />Local <br />14. Reference #'s assigned by regulatory groups: <br />IIM61 <br />State: <br />Local: <br />(Approving Authority, Name and Title) <br />A <br />