5803T_ROSCANS_2008

SOLID WASTE MANAGEMENT FACILITY Tj' WA
FIRE OCCURRENCE NOTIFICATION NCDENNCDEN
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NC DENR Division of Waste Management N�T_T°�NaoEP�TNENT°F
ENVI ,ENT /.NON DE FE30U
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: Coisn,Yv (ll,4 TF PERMIT # rX-0.3 — T
DATE AND TIME OF FIRE: l a / /0 /DIV @ / : 5 AM / (circle one)
HOW WAS THE FIRE REPORTED AND BY WHOM: j,-fn1E5 2� --rkE e
LIST ACTIONS TAKEN: e .
WHAT WAS THE CAUSE OF THE FIRE: ifT,¢-�C/'tGS /4�/'f�E'_et Iower�[
DESCRIBE AREA, TYPE, AND AMOUNT OF WASTE INVOLVED:,gA-T o "
WHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE:
CURRENT STATUS OF FIRE: '5,6VRAI
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
>;-�.� C., ,C t_Rv r U16r ®9VS un
NAME TITLE PH qft9 DATE
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:
❑ NO ❑ PHONE CALL ❑ SUBMITTAL ❑ MEETING ❑ RETURN VISIT BY:
Revised 6129101
SOLID WASTE SECTION
ASHEVILLE REGIONAL OFFICII

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