An operator shall ensure that:
A. Any reportable condition described in Regulation .06 of this chapter is reported to the Department on a form prescribed by the Department;
B. Each report form is:
(1) Completed in duplicate; and
(2) Signed and dated by the person completing the form;
C. The original report form is maintained for at least 3 years; and
D. A copy of the report is forwarded to the Department with personal identifiers removed to maintain confidentiality.