NC 0021504_Facility Notification Form_20010216

FACILITY NOTIFICATION REPORT FORM
Date Notification Received: Ala
Facility's Name & County: mil% Tf % A-,,,,,,,,,,,4-,
Facility NPDES Permit No.; e? a7 2/3 227
Person Making Notification & Phone No.: i 440 — ,f0 -5-72— 7I'52
Notification Taken By:
Type of Unit Out of Operation:
Permit Limit Violations: Req)
Type of Notification: —AM/ V/1 &2D -f /5Y - krit " %9 7.3.E /,. 7
/2V _1 I sa 3 //
Date of Field Visit:
29
4
Samples Taken: Yes:
No:
Field Office Actions and/or Recommendations:
r`
"Cit-div7" 4/4e1.-
raTi Or a
4/171,-d-e hiPse
Other Sections Involved:
lics- LJ
CC: Belinda Henson/Inspection Files
Don Register
Dale Lopez/Tx Files
Kitty Kramer/DMR files
Paul Rawls