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Glue & Crimp PER FIRE DEPARTMENT EMERGENCY MEDICAL SERVICES REPORT FORM No Pt. DATE INCIDENT NUMBER MM D Y Y R U TELEPHONE (Area Code + Number) N I TEAM ME. #1 N F O Suspected: AGE P T SEVERITY I
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Information such as the types and quantities of hazardous materials present, storage locations, emergency contact information, and spill response procedures must be reported on Glue Perf Fire Department forms.
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