DEQ-CFW_00026184

Hazardous Waste Section
File Room Document Transmittal Sheet
t##
Your Name: Phillystine Spinks
EPA ID: N, C D 0 4 7 3 6 8 6 4 2
Facility Name: DuPont - Fayetteville
Document Group: Financial (F)
Document Type: Financial Record Review (FRR)
Description: Hazardous Waste Compliance Data Entry Form - pink FRR inspection
sheet.
Date of Doc: 9/6/2012
Author of Doc: Phillystine Spinks --- submitted to Data Unit on 9/6/2012.
File Room Use 021
I - NCD047368642
Month i
Dal Year
Date Recieved by File Room: Scanner's Initials:
Date Scanned: I �3-
DEQ-CFW-00026184

Hazardol.is- Waste, Compliance, Data Entry Form — Side A
Facility Name: _
V
EPA ID Number: N qq -)-
Location:
Delete -
EVALUATION DATA New: Change:
Mo. Day Yr. Tf e
Date: 03-/
laspeotor ID #: 0 5 6 Reason: FINANCIAL RESPONSIBILITY
�#—
Date Deter mined. — Class.-
Priority.- Branch: Person. -
.return to Compliance:
*Scheduled* *,d.c,-ual*
Peg Type. -
Reg. DescriDtiion.-
con2rnent:
DEQ-CFW-00026185