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Release Reporting Forms

(Forms are required unless otherwise noted.)

 

DOT 5800.1: Hazardous Materials Incident Report, U.S. Department of Transportation 

 

EPA Form 9350-1: Form R: Toxic Chemical Release Inventory Reporting Form, US Environmental Protection Agency

 

EQP 3465: Spill or Release Report, MDEQ (optional form) - pdf
EQP 3465: Spill or Release Report, MDEQ (optional form) - Word

 

EQP 3800: Free Product Fax Transmittal, MDEQ Waste and Hazardous Materials Division

 

EQP 3826: Release Report: Suspected/Confirmed, MDEQ Waste and Hazardous Materials Division (optional form)

 

EQP 3841: Leaking Underground Storage Tank Initial Assessment Report, MDEQ Remediation and Redevelopment Division

 

EQP 3842: Leaking Underground Storage Tank Final Assessment Report, MDEQ Remediation and Redevelopment Division

 

EQP 3843: Leaking Underground Storage Tank Closure Report, MDEQ Remediation and Redevelopment Division

 

EQP 4482: Notice of Migration of Contamination, MDEQ Remediation and Redevelopment Division

 

EQP 4476: Notice Regarding Discarded or Abandoned Containers, MDEQ Remediation and Redevelopment Division

 

EQP 5857: Report of Discharges of Untreated or Partially Treated Sewage, MDEQ Water Division

 

EQP 7233: Report of Loss or Spill, MDEQ Geological and Land Management Division

 

PHMSA F 7000-1: Accident Report - Hazardous Liquid Pipeline, U.S. Department of Transportation

 

PHMSA F 7100.1: Incident Report - Gas Distribution System, U.S. Department of Transportation

 

PHMSA F 7100.2: Incident Report - Gas Transmission and Gathering Systems, U.S. Department of Transportation

 

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