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NOAA FORM 174A (481)U.S. DEPARTMENT OF COMMERCE Form Approved OMB Control No. 06480025 NATIONAL OCEANIC AND ATMOSPHERIC Expires 05/31/2027INTERIM ACTIVITY REPORTS AND FINAL REPORTNOAA FILE NUMBERThis
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NOAA Form 17-4 is a reporting form used by the National Oceanic and Atmospheric Administration (NOAA) to collect data related to the release or potential release of hazardous materials into the environment.
Individuals or organizations that have a responsibility for the release of hazardous materials, such as operators of facilities that handle such substances, are required to file NOAA Form 17-4.
To fill out NOAA Form 17-4, provide accurate information about the incident including the date of release, type of material, location, and any response measures taken. Ensure to follow the guidelines provided with the form.
The purpose of NOAA Form 17-4 is to facilitate the reporting of hazardous material releases to ensure proper monitoring, response, and regulatory compliance to protect environmental and public health.
The information that must be reported includes the date and time of the release, the type and amount of hazardous material released, the location of the release, and any measures taken to control or clean up the release.
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