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30. Result of Incident (check all that apply): ® Spillage ❑ Fire ❑ Explosion ❑ Material Entered Waterway/Storm Sewer ❑ Vapor (Gas) Dispersion ❑ Environmental Damage ❑ No Release 31. Emergency Response: Th D following entities responded to the incident: (Check all that apply) ❑ Fire/EMS Report # ❑ Police Report # ❑ In-house cleanup ® Other Cleanup 32. Damages: Was th total damage cost more than $500? ® Yes ❑ No If yes, enter the following in rmation: If no, go to question 33. Material Loss: Carrier Damage: Property Damage: Response Cost: Remediation/Cleanup Cost: $ 0.00 $ 0.00 $ 0.00 $ 1189.00 $ 0.00 (See damage definitions in the in ;tructions) 33a. Did the hazardous material cause or contribute to a human fatality? ❑ Yes ® No If yes, enter the number of fatalities resulting from the hazardous material: Fatalities: I Employees Responders General Public 33b. Were there human fatalities t iat did not result from the hazardous material? ❑ Yes ® No If yes, how many? _ 34. Did the hazardous material c ause or contribute to personal injury? ❑ Yes ® No If yes, enter the number of in uries resulting from the hazardous material: Hospitalized (Admitted Only) Employees Responders General Public Non -Hospitalized: Employees Responders General Public (e.g.: On site first aid or Emergen y Room observation and release) 35. Did the hazardous material c use or contribute to an evacuation? ❑ Yes ® No If yes, provide the following ir formation: Total number of general publi evacuated Total number of employees evacuated Total evacuated Duration of the evacuation (hours) 36. Was a major transportation altery or facility closed? 37. Was the material involved in crash or derailment? If yes, provide the following ir formation: Estimated speed (mph): _ Vehicle overturn? Vehicle left roadway/track? ❑ Yes ® No If yes, how many? ❑ Yes ® No Weather conditions: ❑ Yes ❑ No ❑ Yes ❑ No 38. Was the shipment on a passe iger aircraft? ❑ Yes ❑ No If yes, was it tendered as cargo, or as passenger baggage? ❑ Cargo ❑ Passenger baggage 39. Where did the incident occur if unknown, check the appropriate box for the location where the incident was discovered)? ❑ Air carrier cargo facility ❑ Sort center ❑ Baggage area ❑ By surface to/from airport ❑ During Flight ❑ During loading/unloading of aircraft 40. What phase(s) had the shipmnt already undergone prior to the incident? (Check all that apply) ❑ Shipment had not been tr nsported ❑ Transported by air (first flight) ElTransport by air (subsequent flights) ❑ Initial transport by highwa to cargo facility ❑ Transfer at sort center/cargo facility (hours) Incident Number: 00011750 Car: GATX 201623