Get DHS CG-5549 2016
of responsibility. On or about , a pollution incident occurred or threatens to occur at: a United States navigable waterway. The United States Government has identified you as a potential responsible party. This pollution incident involves a potential or actual discharge of oil, a release of hazardous substance, and/or hazardous material, which triggers certain responsibilities under the applicable Federal Statutes, marked below: The Federal Water Pollution Control Act (Clean Water Act (CWA)).
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