1109_FIRE_20220707

'Waste managentent.
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
(If additional space is neeo'ed, use back of this form.)
NAME OF FACILITY: de'NSoplS r rod
DATE AND TIME OF FIRE: , LA(K 14ln ' ao �y (2:00 FM
occurrence.
PERMIT # ( i l?,01 - L' vv p,,5+
IOW WAS THE FIRE REPORTED AND BY WHOM:
bent p"scr6`� 01A iw{;erS{'J'- 004 QL+.Ii, C OlVa el-t1f4l rli-C- pep+ ,
LIST ACTIONS TAKEN:
i A6%1,Crto,ti WAS r&kXJCA Fn>W Wi(Ask fl--� lLAel tnnatOorc,-1 Pay- pL>55,;Lq�c. �04L( r'_
�',c7tMh V1S ( , D rl
WHAT WAS THE CAUSE OF THE FIRE:
','Kna6f ho+ -,pt uy� +6z, ?050A-a Io�115C,d 0 dc-iPir makcm,(
MA 5LArFace,
)ESCRIBE AREA, TYPE, AND -AMOUNT OF WASTE INVO_LVED:-
StlnS{L l�r�vtvu M�IE�{n a5D (.(fibi t1a�rl3 Oq A(4erc,A we's vxte wwvsr� , 6-...f oolt-f
abet {o auun to Yawls was bw-v*
WHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE:
M(>S'6 �In�inro�ln Awdr�tnewf l��r�w� v Wi✓+dron� �� e.I�vw�;i+a-�� (�ok S�o� -
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
nwte-k Ww«anN- Wttl be- a Wta)-Z- VLA& 0--r, .Iz. SIzG gN r>rAer ire-,ucAt -
NAME: , Q. TITLE: �crf C7�PttsYs Itic�ac DATE:
Revise' 611512016