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4. The written report should include the following: <br /> a. The control number received when verbal report was made <br /> b. Name, address and telephone number of owner or operator <br /> C. Name, address and telephone number of facility <br /> d. Date, time and type of incident (i.e.: fire, earthquake, etc.) <br /> e. Name and quantity of material involved <br /> f. Extent of injuries, if any <br /> g. Assessment of actual or potential hazards to human health or <br /> environment, where applicable <br /> h. Estimated quantity of treated, stored, or disposed of recovered material <br /> that resulted from the incident <br /> 5. Report for a fire: <br /> a. Exact location of fire <br /> b. Your name and company name <br /> C. Name of hazardous materials involved <br /> d. Quantity of hazardous materials <br /> e. Hazards of the material (from MSDS) <br /> Contingency Plan <br /> 500 South Beckman Road 11.6 <br /> ArmorStruxx,LLC Lodi, CA 95240 <br /> March 2013 <br />