SW_F_7803-MSWLF-1997_2018-03-05_G_O

SOLID WASTE MANAGElVIENT FACILITY
FIRE OCCURRENCE NOTIFICATION NA NGDENR NC DENR Division of Waste lYianagement
Solid vVaste Section
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Notify the Section verbally with.in 24 hours and submit written notification with.in 15 days of the occurrence. (If additional space is needed, use back of this Jam�)
NAME OF FACILITY:t?obesoo Co. S0\·.J lJo..'.:){� PER.NUT# 18 - 0 3 DATE AND TIME OF FIRE: 5 I _2_; /<l @ ____!f__: 00 A.t'vI I @ircle one) HOWWAS THEFIREREPORTED ANDBYWHOM:�E'.6'2c.A�J 'o� p�of'leJ R11;,sA-:,,� Curnm;vi.5-5
LIS! ACTIO NS TAKEN: Operd:M ccc,'i.,-Srr;fj. o·� Ae �de of-ft� hi fl fo f,� a.�cJ .5-tof£ire kci>'l Spcee1. · J ,. 0 a.r , · r . I ·-fo efp W\:\.-b +be A <e._
�ESCRIBE ARE:\, TYPE, AND AMOUNT OF WASTE INVO LVED: _·-r'-'x--'-·=-er-=_e'---"lJ-"'-"-'e1-=e=--ll�i1----'-W-==tlri=-'-'e=--­
lnuul ved. if l,hu Ort +lie So"'� doae of' -/-i.e. /11.5 t....J , J
1vVHAT COULD HA VE BEEN DO NE i10 PREVENT THIS f[RE: -4�r-+-�-fc�--'-��Ja;-�_c.._h�'�·/1_"'7_Cl-_+._'R�'.f�d=Qj=· ,._._e('C½d rncJCe SllV:e ±hi.5 Ouestt:+ hc,ppru 0-5q,Y1
CURRENT STATUS OF FlRE: _e,""'x_'-"--'-{...u;Y'.lc..wJ'4-' =u,...,_,;5,..,_},-'-"�=J...___ _____________ _
TITLE (}� DATE?-S-)f ---���-------
. . .. THIS SECTIONTO:BE COlvIPLETEDBYSOLIDWASTE SECTION REGIONAL.STAFF . . .. . . . .. . DA TE REC:EiVEb ----,---,--------List any factors not listed that might have contributed to the frre-or that might prevent occurrence of future fires:
FOLLOW-UP.REQUIRED:
.Q ·NO O PHONE.CAL;L D SUBMflTAL D MEETING D RETURN\/.ISIT BY: __ --'---'--- (DATE)
ACTIO�S TAKEN OR REQUIRED:
Re.·ised 6/2910/
X
No further action required. ALF 03/06/2018