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DATA ITEM DESCRIPTION
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OMB No. 07cW0188
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1. TITLE
2. 10 ENTIF1CATION NUMBER
POLLUTION INCIDE~” REPoRT
DI-SAPT-80494A
a.
DESCRIPTION t PURPOSE
3.1 This report provides for the reporting of spills or releases of any
hazedous substance listed in 40 co~e of Federal Regulations 302 which
exceeds reportable quantities end any pollution incident.
L ~OJJ.4L, DATE
5.
OI+ICEOF PRIMARY RESKINSIBILITV (OPi7)
@, DTIC APPLICABLE 6b, G80EP APPLIGWLE
901220
F/APSPACECOM-DE PV
~.
APPLKATION 11NTERREIATION3 HIP
7.1 This Data Item Description (DID) contains the forsoat end content
preparation instructions
for the data product generated by the specifio end
discrete task requirement as delineated in the contract.
7.2 This item is applicable to contracts that provide for the reporting of
pollution incidents.
7.3 This DID supersedes DI-SAPT-E0494.
1.
APPROVAL UMITATION
9a.APPuGxm.EFoRMs
9b. AMSC NUMBER
I I
F6012
10. PREPARATION INSTRUCTIONS
10.1 Format:
The report shall be in contractor devised message format.
10.2 Content:
The report shall include:
a.
Name of installation.
b.
Incident report (initial, second, third, final).
c.
Date end time of incident (note 1).
a.
Actual dasoage
of potential threat to human life, property
(private, state, federal or host country), and plant or animal life. Where.
appropriate,
include type of fish or wildlife affected and an estimate of
number killed.
e.
Location of incident end the nature of the terrain at the
location to include surface and subsurface drainage characteristics and
relationships to water bodies (estimate extent of area affected such as
miles of stream or acres of lake).
11.
OISTRiOUTION STATEMENT
DISTRIBUTION STATEMENT A.
Approved for public release: distribution is
mlimited.
I
DD Form 1664, AP1789
Pre.ious
●ditions ●re obsolete. Page ~ d ~ Pages
13WW1
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