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SPILL REPORTING FIELD FORM <br />NOTE: ALL On -Call personnel that are required to respond to sewer spills shall read and understand <br />the complete Sewage Spill Procedures contained in the emergency callout manual. When responding to <br />a sewage spill, the following general procedures should be followed in order: <br />1. NOTIFY SUPERVISOR AND OR ON CALL SUPERVISOR (IMMEDIATELY) <br />2. CONTAIN THE SPILL <br />3. STOP THE SPILL <br />4. CALL AND REPORT TO APPROPRIATE AUTHORITIES <br />5. CLEAN UP THE SPILL <br />6. FIELD REPORTS — ON CALL SUPERVISOR SHALL VERIFY AND FILL ALL DATA <br />FOR THE SPILL. <br />BASIC SPILL INFORMATION: <br />1.) DATE: / / <br />2.) SPILL LOCATION: <br />Address / Street Intersection Spill Point (MH#, CO, etc.) <br />3.) TIME SPILL STARTED (If known): <br />4) TIME CITY WAS NOTIFIED: <br />5.) OPERATOR ARRIVAL TIME: <br />6.) PRIVATE PROPERTY (Y OR N): <br />7.) SPILL END TIME: <br />8.) ESTIMATED SPILL FLOW RATE: (gpm) (See Appendix C) <br />(Number of pick holes where water is coming out Height of water spout <br />out of the MH inches) <br />ESTIMATED SPILL VOLUME LOST: <br />ESTIMATED SPILL VOLUME RECOVERED: <br />TOTAL SPILL (VOLUME) (FLOW RATE X MIN): <br />SPILL REASON/CAUSE: <br />(GAL.) <br />(GAL.) <br />(GAL.) <br />REVISION 2.0 (04/23) 24 <br />