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1 1 <br /> 1. Name, address, and telephone number of the facility's o er/operator; <br /> 2. Name, address, and telephone number of the facility; <br /> 3. Date, time, and type of incident (e.g.,fire, explosion, etc.); <br /> 4. Name and quantity of material(s) involved; <br /> 5. The extent of injuries, if any; <br /> 6. An assessment of actual or potential hazards to human health or the environment, where <br /> this is applicable; <br /> 7. Estimated quantity and disposition of recovered material that resulted from the incident; <br /> 8. Cause(es) of the incident; <br /> 9. Actions taken in response to the incident; <br /> 10. Administrative or engineering controls designed to prevent such incidents in the future. <br />