Spill_Report_Form.pdf
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- SP4510-16-Q-1018
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Attachment 3 Spill Report Form
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| AFI_91-203.pdf | ||
| TO_42B-1-1.pdf | ||
| RFQ_SP4510-16-Q-1018.pdf |
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July 2010 Fort Sam Houston SPCC Plan
Table 4.3 Soill Reoortin( Information
Individual Reporting Spill
Fort Sam Houston
Name and Address DPW Environmental Compliance U.S. Army Garrison Fort Sam Houston, TX 78234-5004
Phone
Date and time of spill
Type of material discharged
Location of the spill
Quantity discharged {estimate) and time/duration of the event
Name of any surface water involved or threatened
The source of the discharge
Description of all affected media (soil, water, vegetation)
Cause of the discharge
Possible hazards to the environment
Any damages or injuries caused by the discharge
Any known or anticipated health risks associated with the incident
Actions being used to stop, remove, and mitigate the effects of the discharge
Whether an evacuation may be needed
Individuals or organizations contacted
Name Organization Time of Call
4-6
SP4510-16-Q-1018
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