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ENVIROmiENTAL UPSET REPORT
General Foreman Production Superintender Operations Superintender Plant Manager Environmental Control
SUBJECT: FROM:
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Please complete the following questionnaire and forward as soon as possible. [This report must be received by the Environmental Control Department within five (5) calendar days of the incident.]
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1. DATE OF INCIDENT:
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2. SOURCE OF RELEASE: MhJL /aJ
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3. TIME AND DURATION:
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4. WEATHER CONDITIONS (Circle One):(^Clear-) Partly Cloudy
Cloudy
Rain
5. WIND SPEED AND DIRECTION (if a gas release):
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mph
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6. HAZARDOUS MATERIAL RELEASED:
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7. ESTIMATED QUANTITY RELEASED:
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lbs
8. CAUSE OF RELEASE:
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9. IMMEDIATE ACTION TAKEN: jZS)uC>
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10. ACTION PLANS TO PREVENT REOCCURRENCE:
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11. NOTIFICATION MADE (Who, When):
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