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Reported: mm/dd/yyyy 4. Weather condition at time of report: Raining: yes no Temperature: oF Precipitation in previous 24 hours: inches 5. Frequency: one-time spill intermittent continuous other (explain) 15. Final resolution date: mm/dd/yyyy in process 6. Threat determination and G3 notification: Constituted a threat to human health or the environment? yes; immediate response: yes no (explain); G3 notification no 8. Incident response 9. How did you.

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