Reporting Information

Name and phone number of the person to contact for further information.
Location and source(s) of the release or discharge.
Chemical name or identity of any substance(s) involved in the release or discharge.
Is the substance extremely hazardous?
Estimate of the quantity (gallons or pounds) discharged into the environment.
Time and duration of the release or discharge.
The environmental medium or media into which the substance was released or discharged.
Potential health effects associated with the release or discharge of the substance.
Precautions taken, including evacuation, remediation, or other response actions.