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eastern region oil spill disaster contingency plan - Indian Coast Guard

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- 50 -<br />

OIL SPILL REPORT FORM<br />

ANNEX -1<br />

a. Particulars of Person / Organization Reporting Incident<br />

b. Title :<br />

c. Company :<br />

d. Telephone / Telefax Number :<br />

e. Date / Time :<br />

f. Spill Location :<br />

g. Type and quantity of <strong>oil</strong> Spill :<br />

h. Cause of <strong>spill</strong> :<br />

j. Response to Spillage, if any :<br />

k. Any other information :

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