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SANJ O A Q U I N Environmental Health Department <br /> COUNTY— <br /> CCR, Section 2750.9(b) Data required. For each accidental release included, the owner or operator shall report <br /> the following information: <br /> (1) Date,time, and approximate duration of the release: <br /> None <br /> (2) Regulated substance(s) released: <br /> (3) Estimated quantity released in pounds and, for mixtures containing regulated toxic substances, <br /> percentage concentration by weight of the released regulated toxic substance in the liquid mixture: <br /> (4) Five-or six-digit NAICS code that most closely corresponds to the process: <br /> (5) The type of release event and its source: <br /> (6) Weather conditions, if known: <br /> (7) On-site impacts: <br /> (8) Known offsite impacts: <br /> (9) Initiating event and contributing factors if known: <br /> (10)Whether offsite responders were notified if known: <br /> (11) Operational or process changes that resulted from investigation of the release and that have been <br /> made by the time this information is submitted in accordance with Section 2745.5: <br /> 16 of 22 <br />