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<br />',"I <br />" <br />! <br /> <br />PRELIMINARY FORM <br /> <br />I <br />'."... <br />I':;J <br />C'T') <br />.'C,J <br />1\.....) <br /> <br />Name of Dam and Reservoir: <br /> <br />RECORD OF TELEPHONE REPORT OF EMERGENCY OR <br />UNUSUAL CONDITIONS AND FACILITY FAILURES <br /> <br />Date of Call: <br />Time of Call: <br />Date of Incident: <br />Time of Incident: <br />Reservoir Elevation: <br />Outflow: <br /> <br />......... <br /> <br />Project: <br /> <br />Person Called: <br />City Called: <br />Person Placing Call: <br />Call Placed From: <br />Contents: <br />Inflow: <br />; <br /> <br />2. Location: <br /> <br />1. Subject: <br /> <br />3. Summary of Incident: <br /> <br />4. Apparent Source/Cause: <br /> <br />5. Damage to Facilities: <br /> <br />6. Actions Initiated: <br /> <br />7. Offices/Agencies Notified: <br /> <br />8. Status of Incident: <br /> <br />9. Followup Reports: <br /> <br />10. Remarks: <br /> <br />A-32 <br /> <br />;1 <br /> <br />" ~ ',. <br /> <br />:". <br /> <br />'''',-, ' <br /> <br />