2906_FIRE_20211223

Waste Management
ENV RONMENTAL DUAL TY
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: 12/23/21
HOW WAS THE FIRE REPORTED AND BY WHOM:
Levin noticed smoke coming off the pile
LIST ACTIONS TAKEN:
Dperator used Bomag to remove from pile, spread out & covered with din.
WHAT WAS THE CAUSE OF THE FIRE:
'ell phone battery
@ 0946 hrs
)ESCRIBE AREA, TYPE, AND AMOUNT OF WASTE INVOLVED:
%pprox I cubic yard of waste
WHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE:
always looking for hazards
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
Sc aware
NAME:Tim Phelps
TITLE: Landfill Supervisor
DATE: 12121-21
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 tires:
FOLLOW-UP REQUIRED: o,
NO PHONE CALL SUBMITTAL MEETING RETURN VISIT BY: ^� (DATE)
ACTIONS TAKEN OR REQUIRED:
Revised 6.15 2016