(1) the name of the person making such report and his relationship (agent, employee, etc.) to any person (corporation, company, etc.) which might be responsible for causing such discharge;

(2) the time and date of the discharge;

(3) the probable source of the discharge;

(4) the location of the discharge, both geographic and in relation to bodies of water;

(5) the type of petroleum discharged;

(6) possible health or fire hazards resulting from the discharge;

(7) the amount of petroleum discharged;

(8) all actions which are being taken or will be taken to clean up and remove the discharge;

(9) the personnel presently on the scene; and

(10) other government agencies which have been or will be notified.