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ACTIONSTAKEN PRIOR TO ARRIVAL/BY WHOM <br /> ACTIONS TAKEN BY HAZ MAT PERSONNEL <br /> ❑ LEVEL A ENTRY ❑ LEVEL B ENTRY ❑ LEVEL C ENTRY ❑ LEVEL D ENTRY ❑ NO ENTRY MADE <br /> >D�NO ACTIONS TAKEN ❑ HAZ MAT REFERENCE ❑ CONTAINMENT ❑ PLUG AND PATCH ❑DECON EQUIPMENT <br /> ❑ DECON PERSONNEL ❑RESCUE VICTIMS ❑ SAMPLE ❑ SHUTDOWN SYSTEM DES SUPPORT,NON HAZ MAT <br /> ❑ SITE CONTROL ❑EVACUATION ❑ MONITORHAZMAT ❑ IDENTIFY MATERIAL ❑REFERRAL TO OTHER AGENCY <br /> ❑ OTHER <br /> HAZ MAT PE$SONNEL ON SCENE/ASSIGNMENT <br /> AGENCY NOTIFICATIONS/REFERRALS <br /> CLEAN-UP ACTIONS TAKEN <br /> ILLUSTRATION OF INCIDENT <br /> 1 <br /> BRIEF SUMMARY OF INCIDENT <br /> REPOT-FI DAT/E/.� / q ADDITIONAL INFORMATION ATTACHED CH <br /> MIRF ED <br /> � � V� S V/( � -�� l � ❑ VES a70 s <br /> HIN a KEY 319218 <br />