Spill Discharge Incident Report

Mailing Address:
OKLAHOMA CORPORATION COMMISSION
Oil and Gas Conservation Division
P.O. Box 52000
Oklahoma City, OK 73152-2000

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Type of Party Reporting:

Name:

Address:

City:

State:

Zip:

Email:

Contact Phone:

Alternate Phone:

Location of Spill*:

In or Closest to City*:

County of Incident:

Lease/Facility/Pipeline Name:

Phone:

Section:

Township:

Range:

QTR1:

QTR2:

QTR3:

QTR4:

Latitude/Longitude:

Description*:

Date of Discharge*:

Discharge Primarily Over:

Type of Material Discharged:

Other: (Please Describe)

Estimate Volume in Barrels:

Explanation:

Method of Clean-up*:

Is Clean Up Complete?

On-Going?

Recovered in Barrels:

Last Modified on Feb 05, 2021