Document n9wepyMpXjoyp1Qk4RLx70Dv1

ENVIRONMENTAL UPSET REPORT SUBJECT: FROM: ur n/s G ____k, __________________________ 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.] 1. DATE OF INCIDENT: J-X9-2S_______ 2. SOURCE OF RELEASE: Uc <zm&iPPJnt,___ VjrK/~rf 3. TIME AND DURATION: xto 4. WEATHER CONDITIONS (Circle One): Clear TOgPJn Partly Cloudy (cTou^) Rain T 5. WIND SPEED AND DIRECTION (If a gas release): mph f>?rr TO UyE 6. HAZARDOUS MATERIAL RELEASED: tJc. r nr ^ 7. ESTIMATED QUANTITY RELEASED: 8. CAUSE OF RELEASE: ^Eu _S kxsxjs.j <jL(?rOcits ,s ____ & V* y Jr.r;____ ___________________ jB.. 9. IMMEDIATE ACTION TAKEN: //v,~T s/fc/r__ */ U If__________ 0 B.___ Kraft ' XC___4$ 72f____________ Q__ //.U/ 10. ACTION PLANS TO PREVENT REOCCURRENCE: ---- L--Z^.PlOf 4. . 77 0 a/__ g V _ f)P e 11. NOTIFICATION MADE (Who, When): Vrrt/ nerp rzh, ft .Sotor y v/-nruo^>i~r * ,/i/. rentitf , N'V.Ft R^jorkeJl <".'20,^ r>~ //z-9 _________ _____________________ Environmental File f l Qci ^ t<$^