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SSO SPILL REPORTING FIELD FORM <br />NOTE: ALL On -Call personnel that are required to respond to sewer spills shall read and <br />understand the complete Sewage Spill Procedures contained in the emergency callout manual. When <br />responding to 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 APPROPIATE AUTHORITIES <br />5. CLEAN UP THE SPILL <br />6. FIELD REPORTS — ON CALL SUPERVISOR SHALL VERIFY AND FILL ALL DATA <br />FOR THE SSO. <br />BASIC SPILL INFORMATION: <br />1.) DATE: <br />2.) SPILL LOCATION: <br />Address / Street Intersection Spill Point (NM#, CO, etc.) <br />3.) TIME SSO STARTED (If known): <br />4) <br />5.) <br />6.) <br />7.) <br />8.) <br />TIME CITY WAS NOTIFIED: <br />OPERATOR ARRIVAL TIME: <br />PRIVATE PROPERTY (Y ORN): <br />SPILL END TIME: <br />ESTIMATED SPILL FLOW RATE: <br />(Number of pick holes where water is coming out <br />out of the MH inches) <br />9.) ESTIMATED SPILL VOLUME LOST: <br />ESTIMATED SPILL VOLUME RECOVERED: <br />TOTAL SPILL (VOLUME) (FLOW RATE X MIN): <br />SPILL REASON/CAUSE: <br />(gpm) (See Appendix C) <br />Height of water spout <br />(GAL.) <br />(GAL.) <br />REVISION 3.0 (10/13) 19 F -88 22 <br />