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HILt <br />HAZARDOUS -SUBSTANCE• <br />04 <br />1.0 In the event an exposure, spill and/or other emergency <br />situation involving a. -hazardous substance occurs: <br />1.1 The Supervisor will complete: <br />1.1-1 A Management Checklist. <br />1.1-2 Employee Injury forms -as indicated. <br />1.2 Administrator will.-comp.lete'a written report to the <br />appropriate office of the California Department of <br />Health Services will • .: completed by the iLFMG^ <br />Emergency i• • •sr. This report is required within <br />15 days after the incident.. _. release • <br />hazardous material posed a hazard or potential hazard <br />to human health and safety, property, or to the <br />environment. The report must include: <br />II address,. •telephone number <br />• <br />administrator. <br />Name, address, and telephone number of <br />LFMG facility. <br />1.2-3 Date, time, and type of incident (ie. fire <br />explosion, <br />•..'•. • <br />1.2-4 Name and quantity of waste involved. <br />1.2-5 The e*tent of <br />1.2-6 An assessment of actual or potential hazards <br />to human health or the environment, where <br />1.2-7 Estimated quantity and disposition of <br />recovered s: cleanup <br />