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TRACY, PLANT#20 <br /> TEMPLE-INLAND <br /> POLLUTION PREVENTION AND EMERGENCY <br /> RESPONSE MANAGEMENT PLAN <br /> INCIDENT SUMMARY <br /> Date: Incident Description (check one below) <br /> Notice of Violation Inspection <br /> Exceedance Other <br /> Spill/Release *** <br /> ** FOR SPILL OR RELEASE CONTACT 3E at 800.451.8346 (24 hour <br /> hotline number) <br /> 1 _Description of Incident: <br /> 2) Notification Information {Name and Address of Parties Notified: <br /> 3 Description of Corrective Action: <br /> 4) Describe Plan to Prevent Recurrence: <br /> SIGNATURE: DATE: <br /> Page G 2 Revised 7/15/10 <br />