HomeMy WebLinkAbouthazmat investigation 19888 E -/
1 Incident Location Naroe :
Adtl.ress:
Canleo
3So Rrat u.Y
2.tatet tO / t3 Ala:m No. :It)B
,. Inve s tlgatlng 0fficer(e o Rtisk ,b
4. lnvestlgation Requested by:LcR fi,* 9.vicc-
Tirrez / 3 oo
5 Agency lavolveil: Etre-3]-Police
Nat. Resou-r'ces
Coast Guard
Eearth / ltatur I
DPI{DEEE /_
0ther
6
7
Samples llakea Y_!_ N_
Photos Taken N t/
Materials FoUJ I:
DOI Numbers:
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8. Actlon Taken:tui(t t4-
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YAIU{omE PIIS lPlBlIl'iENT
EJ.ZARNOUS MATERIAIS N$IMT]GATION REPORT
rv uro /cA -x"k Sur,rie
By Who
FPB-44 DEP Site No. Alarm
YARMOUTH FIRE DEFT.
rvo.&g!€-InciciEnt ,uo. ?3 - i
HA Z ARDOUS I"IATER i ALS I NVEST i GAT I ON TIEPORT
Date: I /
l nc i dent
<4t13 Time o+ callr \90 Inci dent- Secur.ed:
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Fiepor'tinq F ar t-y:D;,-L (6"Jrs
F'r'op elr.t- r7 Owner'-q Name:tA r,'t"o u Fhone No: lsaty /7 5.)3oo
Addr.egs: ] So [\Air Sl-UJ.X
Responsible F'ar.t-y, Narne:J D_.-tlt, .\^ fv'\ Fhene No: (Sat> zz8-e'sg
Addr.ess: fOO -\oe-6 ,ttni"' 6i
ri d\J\5
Action to lrlal::p Scene Safe:
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[iontaini. nated Per.sclnnel : lvo
Agency.
Fi re:Repr.€rEentat i. ve.
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DEP:
F'o L i ce:
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Other :
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Materi al s ir t-rttant i ty used to Contai n Inci dent. Rei mbur.sed ,/ l
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