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OMB No. 0704-0173 OMB approval expires Mar 31, 2010 RECORD OF MILITARY PROCESSING ARMED FORCES OF THE UNITED STATES (Read Privacy Act Statement and Instructions on back before completing this form.)
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DD 19661-5 is a form used by the U.S. Navy to report any hazardous substance releases.
Any individual or entity responsible for a hazardous substance release on a U.S. Navy facility is required to file DD 19661-5.
DD 19661-5 must be filled out with information regarding the hazardous substance release, including location, type of substance, quantity released, and cleanup efforts.
The purpose of DD 19661-5 is to ensure that all hazardous substance releases on U.S. Navy facilities are properly reported and addressed.
Information such as the date, time, and location of the release, as well as details about the substance released and any cleanup actions taken, must be reported on DD 19661-5.
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