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msµ, <br /> ,-,:--74E.:41i74,-;;;I:571-61;i4;t1-77171Pri:771447*t4.4444,; -::21reiNFTWE-F-134 <br /> DATE: TIME: <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 spill (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. Property(ies)/stream(s) impacted? <br /> 11. Action taken (Description of initial containment/recover procedures): <br /> (continued on back) <br /> 12. Weather conditions at site: <br /> 13. Party responsible for spill: <br /> 14. Name of individual preparing report:: <br /> OTHER INFORMATION/COMMENTS: <br /> r Site Plan Report <br /> Everett <br /> OW O <br /> Everettetc Community College <br /> Index Hall Replacement&Surface Parking Lot"M" <br /> 209459.10/209459.11 <br />