The report required under § 1604.3(c) must include the following information regarding an accidental release as applicable:
(a) The name of, and contact information for, the owner/operator;
(b) The name of, and contact information for, the person making the report;
(c) The location information and facility identifier;
(d) The approximate time of the accidental release;
(e) A brief description of the accidental release;
(f) An indication whether one or more of the following has occurred:
(1) Fire;
(2) Explosion;
(3) Death;
(4) Serious injury; or
(5) Property damage;
(g) The name of the material(s) involved in the accidental release, the Chemical Abstract Service (CAS) number(s), or other appropriate identifiers;
(h) If known, the amount of the release;
(i) If known, the number of fatalities;
(j) If known, the number of serious injuries;
(k) Estimated property damage at or outside the stationary source; and
(l) Whether the accidental release has resulted in an evacuation order impacting members of the general public and others, and, if known:
(1) The number of persons evacuated;
(2) Approximate radius of the evacuation zone; and
(3) The type of person subject to the evacuation order (i.e., employees, members of the general public, or both).