spill report form
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Box 111800 Also includes basic instructions and where to send it once completed - April 2017: � G You can find information about your local government in the blue pages of your telephone book or by contacting your public library. %PDF-1.5 %����
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£ ۡz>&�2nmfeVGSj�G�?���� ��_�u �0� ���y�>7a'I^�d����DtZ�d_�.4R�{�\�V�Ji��Ϧ��o�I�O� endstream endobj 103 0 obj <>stream U [ Press Releases • See Form Instructions (PDF). h�bbd``b`�$f �@�3H�'��$ ��b}�+X�$ Many issues are handled at the local level. Spill Reporting Form (PDF 389K) updated 6/16/2014 This optional form can be faxed to the appropriate DEC office following telephone notification of a discharge. Regulations • More details on notification and reporting requirements can be found in the Spill Guidance Manual Section 1.1 - PDF 87 KB (34 pgs.) ÷ ÷ ò é İ Í Í Í Í À ° Í Í § İ — — Æ À!Údh 7$ 8$ H$ gd.© 7$ 8$ H$ gdƒP Æ !dh 7$ 8$ H$ gdK A spill is considered to have not impacted land if it occurs on a paved surface such as asphalt or concrete. Release Reporting Forms. Forms are required unless otherwise noted. b�G[����_��x��}���?�o�A&���߅ ����:�$�����w����?��W�ȤUV�.�����*r*v2�R��w�H߸!�� �{xO�[�?�~�-e?~e�@�j䖜������z����8 �9���m�R Reportable quantity Spill date(mo/day/yr) Spill start time: a.m. p.m. Written Report Form.pdf: Written Reporting of Emergency Releases (304 Form) Written Reporting of Emergency Release Follow-Up Form (Section 304). Form for recording spill details and notification . Download or preview 2 pages of PDF version of Spill or Incident Report Form (DOC: 30.5 KB | PDF: 18.5 KB ) for free. 476 0 obj <>stream "�����zGTP )/V 4>> endobj 84 0 obj <&�b\( �w�\({�*�Ne����k�� ٵ�4)/MarkInfo<>/Metadata 3 0 R/Pages 80 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 85 0 obj <>/MediaBox[0 0 612 792]/Parent 80 0 R/Resources<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 86 0 obj <>/Subtype/Form/Type/XObject>>stream You must report a suspected below ground release from a UST system, in any amount, within 24 hours (18 AAC 78.220(c)). 45 0 obj <>stream . %PDF-1.5 %���� @sbX�npT���~Ѡ�' ՚����]����N�A�@O*,Ct=z�˓K*��p�l�R��+��Z2�m�f���|�,����k�P���C:��i$`�6�/(@���@4�Rɓg|�~���-k��EϨ�:��� �Y��Fjk|U��c endstream endobj 83 0 obj <>>>/Filter/Standard/Length 128/O(�>�����Kv��£\\����֛��)/P -1084/R 4/StmF/StdCF/StrF/StdCF/U(�c? Instructions This form is to be completed and retained by the ESH spills program manager following the Spills: Response, Cleanup, and Reporting Procedure (SLAC-I-750-0A16C-006). 17 State House Station 28 Tyson Drive Augusta, Maine 04333-0017 Tel: 207-287-7688 Fax: 207-287-7826 Any release of a hazardous substance must be reported as soon as the person has knowledge of the discharge. 5 References endstream endobj startxref Personnel Involved in Spill Reporting:
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