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standard operating procedure college station fire department

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16. Possible health effects/medical emergency information:<br />

___________________________________________________________________________________<br />

__________________________________________________________________________________<br />

A. Precautions to take:<br />

_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

B. Evacuation/shelter in place recommendations:<br />

_____________________________________________________________________________<br />

17. Number of injured or dead:<br />

___________________________________________________________________________________<br />

18. Nearby population:<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________<br />

19. Personnel at the scene:<br />

___________________________________________________________________________________<br />

___________________________________________________________________________________<br />

20. NOTE: Sources for this information in transportation incidents are identification numbers, shipping<br />

manifests, and placard info.<br />

1. For transportation incidents:<br />

A. Shipper and shipping point:<br />

_____________________________________________________________________________________<br />

B. Carrier:<br />

_____________________________________________________________________________________<br />

C. Consignee and destination:<br />

__________________________________________________________________________________<br />

2. Other hazardous materials in area:<br />

____________________________________________________________________________________<br />

Remarks:<br />

______________________________________________________________________________________________<br />

________________________________________________________________________________________________<br />

________________________________________________________________________________________________<br />

__________________________________________________________________________________________<br />

________________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

Submitted by (print name/sign):<br />

______________________________________________________________________________________________<br />

Date/Time:<br />

______________________________________________________________________________________________

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