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HomeMy WebLinkAboutNCG030597_DMR Upload Review_20220205Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/22/2021 12:42:16 PM (DMR Submittal) Submit by Reese, Deborah W 2/5/2022 6:02:18 PM (DMR Submittal Review) • Georgoulias, Bethany A reassigned the task to Reese, Deborah W 2/3/2022 5:07 PM • The task was assigned to DEMLR SW Admin 12/22/2021 12:42 PM STATr, NORTH C MOLINA Hm0renM#M&1 Quelfly DMR Submittal from 12/22/2021 Permit and Facility Information: Permit Number* Enter COC or Individual Permit Number NCG030597 Must begin with NCS or NCG Facility Name:* American Emergency Vehicles County: * Ashe Note: Facility name and county are used to help the reviewer verify the permit number entered, and to display the Regional Office address on the submitter's form (not here). These metadata details will be pulled from current BIMS information after the DMR(s) are filed. If the submittal is accepted, simply note any errors in the reviewer's comments. Monitoring Period Information: Monitoring Period What is the YEAR of the sample date(s)? Year:* 2021 DMR Upload* Click the upload button or drag and drop files here to attach document. DMR - AEV.pdf 122.36KB DMR - REV Remount.pdf 125.8KB DMR AEV- REV -Remount Signed.pdf 1019.96KB AEV DMR.pdf 377.77KB REV DMR.pdf 2.27MB Only PDFs are accepted. Comments: * By checking the box and signing box below, I certify that: o I have given true, accurate, and complete information on this form; o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature; AND o I intend to electronically sign and submit this DMR upload form. Full Name:* Juan Rodriguez Name of person submitting this form Email Address:* juan.rodriguezibarra@aev.com Phone Number:* 336-877-6175 Signature: C' fACW, C�ItC0leel - Date: * 12/22/2021 Review Review Date: 02/05/2022 Confirm Permit No.* Correct the permit ID number if needed. NCG030597 Confirm DMR Year* 2021 Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above. Can submittal be Yes accepted?* No (Explain why below) Do Central Office No staff need to be Yes alerted? * Do Regional Office No staff need to be Yes alerted? Type of Permit* General Ensures DMR(s) filed correctly.