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SPILL REPORT <br /> Company: Reportable Spill? Y N <br /> Phone: Contact: Phone: <br /> SWC Report Number: Cell <br /> Location of Spill: <br /> Address or Sec/Twn/Rge: <br /> Date of Spill: Time of Discovery: Spill Discovered By: <br /> Spill Reported To: • • <br /> Community Complaint: Y N Location of Complaint: <br /> Name and Contact Information of Complainant: <br /> DESCRIPTION OF SPILL <br /> Type of Material: Amount Material: <br /> Cause Of Spill: <br />