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OIL SPILL CONTINGENCY MANUAL - WCSS

CONTINGENCY MANUAL CONTACT CHECKLIST SECTION 2 OIL SPILL SPILL REPORT FORM COMPANY RESOURCES WCSS RESOURCES & CONTACT INFORMATION, EQUIPMENT LOCATIONS EMERGENCY SERVICES & LOCAL RESOURCES GOVERNMENT CONTACTS Contact Checklist Oil SPILL CONTINGENCY MANUAL 2017 Contact Checklist Obtain and record incident reporting information. 1. name of person reporting the incident name Telephone Cellular Day/Month/Year Time of report Location of person reporting 2. Person completing this form: name Telephone Cellular Email address SPILL REPORT FORM Action Procedure Oil SPILL CONTINGENCY MANUAL 2017 Contact ChecklistSection , Page 1 3. Identify responsible party name of company that has the incident Company contact name (24 hr) Contact telephone number Cellular telephone number Email address for contact Location of contact Other: Obtain incident information Is the health or safety of any individual (residents, communities, etc.)

3. Identify responsible party. Name of company that has the incident Company contact name (24 hr) Contact telephone number Cellular telephone number

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