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 # 6 + 1 = Submit Phone: 780-539-4090office@nordicenergycanada.com Managementmanagement@nordicenergycanada.com Address 9319 – 81 AveClairmont, AB T8X 0M2 Fort St. John:9815 - 77 AvFort St. John, BC 24 hr Dispatch Tanker Division: 780‑831-6065 Production Services Division: 780-831-6685 FollowFollowFollow