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� ' , <br />���L�OR�Lt�ND� <br />SPILL REPORT <br />Please complete this forn� fully to help Cal Portl�nd evaluate eacl� spill and the effectiveness of our spill <br />response. <br />Date of spill: <br />Time spill stopped: <br />Material spilled: <br />Location of spill: <br />Weather conditions (check all that apply) <br />Affected surface (check all that apply): <br />Cause of spill: <br />Response actions: <br />Time spill first observed: _ <br />�stimated quantity of spill: <br />❑ Clear ❑ Raining ❑ Snowinc ❑ Overcast <br />❑ Pavement ❑ Bare Uround ❑ V��ater <br />Reporting sequence: <br />Caller"s n�une: <br />Date and time reported to Environmental Iiept: <br />Inteinal Release Investigation Report required? <br />Notes: <br />❑ Yes ❑ No <br />