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standard operating procedure college station fire department

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HAZARDOUS MATERIALS REPORTING FORM<br />

In case of incidents (Fire, Spills, Leaks or Train Derailments) concerning Hazardous Materials, the following information<br />

should be obtained. Get as much of this information as possible.<br />

1. Date: ____________________ Time of Notification ___________________________<br />

2. Name of person receiving call:<br />

___________________________________________________________________________________<br />

3. Name and telephone number of on scene contact:<br />

___________________________________________________________________________________<br />

4. Incident location:<br />

___________________________________________________________________________________<br />

5. Nature of Emergency (e.g. leak, explosion, spill, <strong>fire</strong>, derailment, container type and condition)<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________<br />

6. Name of material released:<br />

___________________________________________________________________________________<br />

7. Time and duration of release:<br />

___________________________________________________________________________________<br />

8. Amount and speed of release:<br />

___________________________________________________________________________________<br />

9. Total amount of material that may be released:<br />

___________________________________________________________________________________<br />

10. Direction, height, color, odor of any vapor clouds or plumes:<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________<br />

11. Medium or media into which the release occurred:<br />

___________________________________________________________________________________<br />

12. Characteristics of material (e.g. color, smell, etc.):<br />

__________________________________________________________________________________<br />

___________________________________________________________________________________<br />

13. Present status of material( e.g. gas, liquid):<br />

___________________________________________________________________________________<br />

14. Weather conditions:<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________<br />

15. Local terrain conditions:<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________

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