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i <br /> DATE: 7IME: <br /> 1. Name of individual reporting spill: <br /> 2. Location of spill: _ <br /> 3. Type of material spilled: <br /> 4. Estimated quantity spilled: <br /> 5. Description of spiil (odor, color, dimensions, etc.): _ _ <br /> 6. Source of spill: <br /> 7. Did material reach a sewer? Yes/No Sewer Type: Industrial Sanitary Storm <br /> 8. Did material soak into soil? Yes/No Estimated Quantity: . <br /> 9. Did material leave property? Yes/No Estimated Quantity: <br /> � 10. ProFerty(ies)/stream(s) impacted? <br /> 11. Action taken (Description of initiai containment/recover praedures): <br /> (co�tinued on back) <br /> 12. Weather conditions at site: <br /> 13. Party responsib!e for spill: <br /> 14. Name of individual preparing report: ._ <br /> OTHER INFORMATION/COMMENTS: <br /> Stormwater Site Plan Report OQOO <br /> Everett School Distrid . <br /> CommuNry Resourre Center <br /> 208387.10 <br />