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� <br /> i <br /> SPILL REPORT <br /> � - <br /> � DATE: TIME: <br /> � 1. Name of Individual Reporting Spill: <br /> 2. Location of Spill: <br /> { 3. Type of Material Spilled: <br /> � <br /> q. Estimated Quantity Spilled: <br /> I5. Description of Spill (Odor, Color, Dimensions, etc.): <br /> I 6. Source of Spill: <br /> 7. Did Material Reach a Sewer? Yes/No Sewer Type: Industrial Sanitary Storm <br /> I8. Did Material Soak into Soil? Yes/No Estimated Quantity: <br /> 9. Did Mater(al Leave Property? Yes/No Estimated Quantity: <br /> Ilo. Property(ies)/Stream(s) Impac[ed?_ <br /> li. Ac';un Taken (Description of Initial Containment/Recover Prxedure:;): <br /> ( - <br /> 1 <br /> I (continued on back) <br /> I12. Weather Conditions at Site: <br /> I13. Party Responsible for Spill: <br /> 14. Name of Individual Preparing Report: _ <br /> I OTHER INFORMATION/COMMENTS: <br /> I <br /> I StormwaR�r Site Plan OQQO <br /> Everett Community College � <br /> Fitness Cen[er 11 <br /> I20822110 <br /> 3�i <br />