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CG ICS SSP: 1.Incident Name 2.Date/Time Prepared 3.Operational 4. Safety Officer(include method of contact) <br /> DECONTAMINATION Period <br /> 5. Supervisor/Leader 6.Location and Size of Site 7.For Emergencies Contact: 8.Hazard(s)Addressed: <br /> 9.Equipment: 10.References Consulted: <br /> 11.Contamination Avoidance Practices: 12.Decon Diagram: ❑Attached, ❑Drawn below 13.Decon Steps <br /> 14.Prepared By: 15.Date/Time Briefed: Potential Health Effects:Bruise/Lacerations,Organ Damage,Central ICS-208-CG SSP-G <br /> Nervous System Effects,Cancer,Reproductive Damage,Low Back <br /> Pain,Temporary Hearing Loss,Dermatitis,Respiratory Effects,Bone (rev 9/06): <br /> Breaks,Eye Burning Pae of <br />