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Hazardous Materials Emergency Response Contact:
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Please fill in this portion if you use an Emergency Response firm:
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Hazardous Materials Emergency Contact Phone #: *
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HazMat Emergency Response Provider (Company or Person): *
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HazMat Emergency Response Contract No: *
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or Please fill in this portion if your emergency response information is provided internally or through some other means:
Please remember that the telephone number provided must be answered by a knowledgeable person 24-hours per day. Any number where
a call back is necessary (answering service, answering machine, beeper, etc) does not meet the goverment requirements.
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Hazardous Materials Emergency Contact Phone #: *
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Extension (if necessary):
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Name of Person Providing Emergency Response Information:*
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