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SPILL RECORD FORM (cont.) <br /> Environmental media affected (air, water, soil, etc) <br /> Did the spill(s) contact storm water or storm water routes? <br /> Personal protective equipment used during or following incident: 4 0 rZ <br /> What operating procedures and safety guidelines were being followed when the <br /> incident occurred? If precautions were not necessary, explain why: <br /> ,�;,,Describe damage to materials or equipment and estimated loss values: - - <br /> CJ Lc�" GI GPr� Df�w—tt��y x(00 �t C c.yx 3 f� �f a`l <br /> Coo PLS c— s ��;rt rt&5E-s rLlz <br /> r38+� <br /> Quantity/ disposition of recoverable material(s): <br /> Recommendations to prevent a recurrence or similar incident in the future: <br /> (z�P�-&t; Act- p ��c co�Pcd � C, _ �f <br /> 6 <br /> Recommended remedial actions: <br /> Signature of person completing report: 11�2(, <br /> Attach any information relating to the incident such as: reports completed by outside <br /> agencies, memos of meetings with outside agencies, contractors and personnel; cost <br /> estimates for damages, medical reports, insurance claims, newspaper reports, eta <br />