DEQ-CFW_00026234

Hazardous Waste Section
File Room Document Transmittal Sheet
M-1
Your Name: Phillystine Spinks
EPA ID: N C D 0 4 7 3 6 8 6 4 2
Facility Name: DuPont - Fayetteville, NC
Document Group: Financial (F)
Document Type: Financial Record Review (FRR)
Description: Hazardous Waste Compliance Data Entry Form - pink FRR inspection
sheet.
IIV.ate of Doc: 11/12/2012
Author of Doc: Phillystme Spinks—submitted to Data Unit on 11/27/2012
File Room Use Only NCD047368642
Month Day Year
Date Recieved by File Room: Scanner's Initials:
Date Scanned: �( �Ir
DEQ-CFW-00026234

ENTERED
Hazardokis Waste Compliance Data Entry Form — Side A
Facility Name: 4a4 tkeh-�
Ll
EPA ID Number: Al
'
--Y�e�n' ��/ _- EVALUATION -._...__-g_.` Delete: -'---.'
YuYn. Day Yr.
T�n+p` � J / j.l�/ JL- ��^ �/ '
---' �� ��ry— _�- ��
Inspector ID #:C--r4L Reason: FINANCIAL RESPONSIBILITY
=========================================
7�Z7�: 7�n/� ;w�'7 / / /�7nvr'
. _--_- -��_--_----_'_..-_--__-� _.__-.____�
1~r70yJty. BrQ���� /~8rJ0n.'_______
Return t9Compliance: /__.__�/__�__� __�__/__�__/__�__�
*%c6�/ud* *Actual*
Reg. Type:

Side B
EPAID#___
# Type: Date Determined
Priority: Branch: Person:
Return to Compliance: —/ — —
*Scheduled*
Reg. Type:
Reg. Description:
*Actual*
Class:
9 Type.- Date Determined Class:
Priority: Branch: Person:
Return to Compliance: — —/ — /--
*Scheduled * *Actual*
Reg. Type: - I
Regg, De crintioni
4 Type: Date Determined Class:
Priority: Branch: Person:
Return to Compliance: — /— /--
*Scheduled * *Actual*
Reg. Descr,�2tiol
DEQ-CFW-00026236