2906_FIRE_20210903-2

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Waste Management
ENVIRONMENTAL QUALITY
SOLID WASTE MANAGEMENT FACILITY
FIRE OCCURRENCE NOTIFICATION
NCDEQ Division of Waste Management
Solid Waste Section
Notify the Section verbally within 24 hours and submit written notification within 15 days of the occurrence.
(If additional space is needed, use back of this form)
NAME OF FACILITY: Davidson County Integrated Solid Waste PERMIT # 29-06
DATE AND TIME OF FIRE: 9'03!21
HOW WAS THE FIRE REPORTED AND BY WHOM:
aron noticed smoke coming off the pile
LIST ACTIONS TAKEN:
:u 1201 hrs
ack was covering on the dozer, got on track loader (used fire ext to extinguish flames',- & removed from pile
WHAT WAS THE CAUSE OF THE FIRE:
mall metal can (approx. concrete block size) filled with approx. 50 batteries
IESCRIBE AREA, TYPE AND AMOUNT OF WASTE INVOLVED:
2 cubic yard
CHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE:
Iways looking for hazards
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
aware
NAME:Tim Phelps TITLE: Landfill Supervisor DATE: 9107+21
THIS SECTION TO BE COMPLETED BY SOLID WASTE SECTION REGIONAL STAFF
DATE RECEIVED _
List any factors not listed that might have contributed to the fire or that might prevent occurrence of future fires:
OLLOW-UP REQUIRED: off
NO PHONE CALL SUBMITTAL MEETING RETURN VISIT BY: "�' I (DATE)
,CTIONS TAKEN OR REQUIRED:
Rer sed 6r 15,'1016