Weld OEM Spill Report Form


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Was the product(s) released an Extremely Hazardous Substance
 
Any acute or chronic health risks associated with the emergency:
 

Emergency precautions taken:
Did the spill occur in or near a waterway:
 

Oil and Gas Incident


 
 
 
  (Ex. -104.537198)
  (Ex. 40.587299)
Have you submitted a form 19:
 
 

Chemical Facility / Other

 

Narrative

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Required 4 digit code: