(dropdown list of multiselect options)
i. Storage (oil, waste, other hazardous substance– if other, please specify)
ii. Spillage (oil, waste, other hazardous substance – if other, please specify)
iii. Water based discharge consent breach
iv. Air based discharge
v. Sewer or water waste
vi. Other (please specify). (free text)
For each selected:
[Date (format), corrective action taken (free text)]"