970040_Call Log_20180611

NOV- > 5 - 003
CALL and COMPLAINT LOG
Division of Water Resources - Animal Waste
Winston-Salem Regional Office ' Vv e 5 Co.
Date Received: Date Investigation Began: Q(p//(l 2 off
Time Received: ; 46 P m Date Investigation Closed:
Staff Receiving call: A P-oSebr O C_ IL Was a violation documented? es r No
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Facility Name: Responsible Party: (,oxr 4 W, (. 1S
Permit Number: Address: -750 N
Contact Name: M y n
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Contact Phone/Email: R g 66 9
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Comments/Description:
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Follow-up Required: ye or No
Date and Type of Inspection(s) Conducted:
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Result of Complaint Investigation:

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