Emergency Report Person Reporting Name Date Release Release Release Anticipated Release Date Time Geographic Location Mode of Transport Shipping Name UN Number Quantity in Time Estimated Release Type of Incident Bill of Landing Driver Unit # 3 + 1 = Submit Phone: 780-539-4090office@nordicenergycanada.com Managementmanagement@nordicenergycanada.com Address 721071 RR 53 Lot 84 County of Grande Prairie, AB T8X 0N4 24 hr Dispatch Tanker Division: 780‑831-6065 Production Services Division: 780-831-6685 FollowFollowFollow