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L <br /> UA - Onshore Gas Number: CO-HSE-032 <br /> HSE Procedure Custodian: Colorado Operations <br /> Spill Prevention, Control and Revision: 0 <br /> Countermeasure (SPCC) Plan Effective: January 2012 <br /> <br />TABLE 4.1. Minimum requirements for written incident report <br />Operator: Shell Frontier Oil & Gas Inc. <br />Permit / NOI Number: <br />Name of Shell's Contact Person: <br />Name of Person Reporting Spill: <br />Date and Time of Spill: <br />Material Spilled: <br />(CAS number, if applicable) <br />Amount Spilled: <br />Lateral Extent of Spill: Describe what occurred, what led to the spill, whether any <br /> material has left the permit area, where the spilled material <br /> is expected to migrate. <br />Countermeasures: Describe what measures are being taken and/or have been <br /> taken to contain spill and procedures used for the clean-up <br /> activity. <br />Notifications: List the names of external agencies, contact persons, <br /> time/date & content of verbal message already given or <br /> planned to be notified. <br />Printed: April 7, 2011 T Section 4 Page 20 of 71 <br />The controlled version of this "controlling document" resides online in Livelink®. Printed copies are UNCONTROLLED.