HomeMy WebLinkAboutNCD980602163_19790121_Warren County PCB Landfill_SERB C_Sanitary Engineering Daily Report of Weekly Activities, Jun 1978 - Jan 1979-OCRFORM # 1343
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DAILY REPORT OF WEEKLY ACTIVITIES
SANITARY ENGINEERING
"'-
DAILY REPORT OF ACTIVITIES.FOR WEEK OF _____ TO __ _
Mo_/Date/Yr_ Mo./Date/Yr.
1. In blank spaces at top of report show first and last day of week.
2. Each sheet has space for 5 days (1 week). One white copy and one yellow copy.
3. Activities of day are to be recorded daily.
4. Report is to be mailed at end of week so that it will reach Raleigh Office by the
following Monday.
5. Instructions for filling in report:
(a) Write with pen. Do not use pencil.
(b) Write legibly.
(c) Mail white copy to Raleigh Office; keep yellow copy.
(d) Explanation of information requested :
(1) Date -write in date of day.
Hours -number of hours on duty.
(2) Places Visited -name of health department or town.
(3) Narrative -Be brief. No need to li st all conferences you had or people you
talked with, unless a special problem/policy was discussed that would be
of concern to Raleigh Office. If more space is needed to report on special
matter/investigation attach a handwritten copy of REPORT SHEET TO
BE USED AS SUPPLEMENT TO DAILY REPORT OF WEEKLY
ACTIVITIES (Form !;1343-A, Rev. 9-73). THIS SUPPLEMENTARY
REPORT IS NOT TO TAKE THE PLACE OF FORM !;1489. IT WILL
BE USED ONLY AS INFORMATION SHEET FOR FILES. IF FORM
!;1489 IS REQUIRED, IT SHOULD BE TYPED AND TRANSMITTED
AS HAS BEEN DONE IN PAST.
EXAMPLE FOR NARRATIVE PORTION OF REPORT:
(1) Investigated with San. Jones sewage system of Moran Mobile Home Park.
(2) Mayor Jones (or Supt. Walter Jones) re. water plant plans.
(3) Supt. Walter Jones re. operation of plant.
(4) Investigated complaint of J. L. Jones re. septic tank.
(5) Worked with San. Jones for certification purposes.
5. The Daily Report of Weekly Activities will not be typed, therefore, your yellow
handwritten copy of the report will be your file copy.
N. C. Dept. of Human Reeourcea
Division of Health Servi-DHS 11848 (9-78)
Sani~ Eqlneerfns
Places Visited
Date Wtl#s6t>10
l~/t;
Hours
11
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Date
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Hours
8
Date
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Hours
~
Date
30
Hours
9
-
DAILY REPORT OF WEEKLY ACTIVITIES
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Narrative Inspections, Etc.
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N. C. Dept. of Human Reeources Division of Health Servi-DHS 11848 (9-78)
Sanit&lTE~
Places Visited
Date
3
9
Date
DAILY REPORT OF WEEKLY ACTIVITIES 7/2/7# TO 1/llt.a
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Narrative Inspections, Etc.
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N. C. Dept, of Human Reeourcea Division of Health Servi-DHS jl848 (9-78) Sanit&Z7 Enalneerins
Places Visited
Date
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Date Hrdccn
I/
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,,.
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
i
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
Inspections, Etc.
N. C. Dept. of Human Reeourcea
Diviaion of Health Servi-DHS SI848 (9-78) Sani~E~
Places Visited
Date ~/~l!Av
17
Hours
(:'
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Hours
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DAILY REPORT OF WEEKLY ACTIVITIES 7h7/4J TO 7/-;//?f
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
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N. C. Dept. of Human Reaourcea
Division of Health Servi-DHS s1a,a <e-1a> SanituJ-E~eerfns
Places Visited
Date
Date
Date
DAILY REPQRT OF WEEKLY ACTIVITIES
Narrative
7/1#,lf TO M ~
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
Inspections, Etc.
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N. C. Dept. of Human Resources
Division of Health Servi-DHS 11848 (9-78)
Sanitui"E~
Places Visited
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Inspections, Etc.
Hours 1-------1---------------------+-------•
Date
Hours 1-------+---------------------+-------I
Date
-:? .... 1
g
Date
Hours L-------+----------------------+-------1
N. C. Dept. of Human Reeources Division of Health Services DHS jl848 (9-73) Sani~E~
Places Visited
Date
1
Date
Date
Date
Date
II
g
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
•· .
Tabulation of Inspections, Etc.
N. C. Dept. of Human Reeourcea
Division of Health Servlcea
DHS 11848 (9-78)
Sanitaq Enalneerfns
Places Visited
Date
Date
/.f
{)
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
t1/11/?c1 TO ~bR
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Inspections, Etc.
Hours 1-------t---=--_..;;._-----------------11--------•
Date
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N. C. Dept. of Human Resources
Division of Health Servi-
DHS 11848 (9-78) Sani~ EnsfDeerhas
Places Visited
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
4P~ I-it TO e/4~ l 9
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Inspections, Etc.
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Date
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Date
Hours 1-------+---------------------+-------•
--Date P, /ttA/1
N. C. Dept. of Human Reaources Divlaion of Health Servicea DHS 11848 (9-78) Saniw,E~
Places Visited
Date fUI /1_c k.16
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DAILY REPORT OF WEEKLY ACTIVITIES
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
Narrative Inspections, Etc.
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N. C. Dept. of Human Resources
Division of Health Servi-
OHS 11848 (9-73) SanitU7 Eqineeriq
Places Visited
Date
4
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
rA/2r TO :;;i/41
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Inspections, Etc.
Hours 1------~---------------------1--------•
Date
1
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N. C. Dept. of Human Reaources
Division of Health Servi-
DHS 11848 (9-78)
SanitarF ~DS
Places Visited
Date
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
r/efk
Mo./Date/Yr.
Tabulation of Inspections, Etc.
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Date
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Date 11
Hours 1---------+-----------------------i---------i
Date
15
' Hours /~
N. C. Dept. of Human Reeourcea
Division of Health Servi-DHS S1848 (9-73) Sanitai? Enirtneerfns
Places Visited
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
~/4;/i# TO ?µ;;pl
Mo./Date/Yr. •Mo./Date/Yr.
Tabulation of Inspections, Etc.
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Date
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N. C. Dept. of Human Resources
Diviaion of Health Seni-DHS 11848 (9-78) S&nita17E~
Places Visited
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
lfJ , V
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Mo./Date/Yr. Mo./Date/Yr.
Tabulation of Inspections, Etc.
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Date .PA'i!n ., L , ~
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N. C. Dept. of Human Reaourcee
Division of Health Services DHS 11848 (9-78) Sanital7 Enafneerfq
Places Visited
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
I I . /. ,-.1 ,;, ,'";'} TO I i ;!t_:'
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
Inspections, Etc.
Hours ,--------1------------------------+---------•
Date
Date --~ TD t\.J
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N. C. Dept. of Human Resources
Divlaion of Health Servi-
DHS 11848 (9-78)
Sanitar>-Enaineerina
Places Visited
Date I)'! ' , -I !)
o/
Hours
1
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DAILY REPORT OF WEEKLY ACTIVITIES 1°/1hCJ
Mo./Date/Yr.
TO )() ~/;g
Mo./Date/Yr.
Tabulation of
Narrative Inspections, Etc.
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Sanitar)' Enslneerlns
Places Visited
Date dlu.1,uc-
11
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
I ,
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N. C. Dept. of Human Reeourcee
Division of Health Servi-DHS 11848 (9-78) Sanit&17 Enslneerlns
Places Visited
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Diviaion of Health Serri-
DHS 11848 (9-78) Sanitaq Enafneerfns
Places Visited
Date
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
Tabulation of Inspections, Etc.
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DHS Sl8'8 (9-78) SanitalT Enaineerlna
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N. C. Dept. of Human Reaourcea
Division of Health Servicee
DHS Sl848 (9-78) Sanitaq Eaalaeerfas
Places Visited
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OHS Sl848 (9-78) Sanitur Eaalaeerlas
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Narrative Inspections, Etc.
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DHS 118'8 (9-78)
Sanit&r>' Enirfneerlns
Places Visited
Date I{ Jt I ll,J/l,,/; r,;P I
J.1 1/11~
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Narrative Inspections, Etc.
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Division of Health Servi-DBS 11848 (9-78) Sanital7 Enafneerfq
Places Visited
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N. C. Dept. of Human Reeourcea
Division of Health Servicee DHS 118'8 (9-78) SanitalT E~eerfns
Places Visited
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
i i
____ TQ ___ _
Mo./Date/Yr. Mo./Date/Yr.
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Sanitaq Enalneerlns
Places Visited
Date ~t•bV
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Bani~ E~eerlna
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Division of Health Servicee DHS 11848 (9-78) SanitalT Enaineerlll8
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Date
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DHS Sl848 (9-78) Saaita17 Enalneerlus
Places Visited
DAILY REPORT OF WEEKLY ACTIVITIES
Narrative
//8 /J~ TO 1((,/79
Mo./Date/Yr. Mo./Date/Yr.
Tabulation of
Inspections, Etc.
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N. C, Dept. of Human Reeourcea Division of Health Servibea DHS jI8'8 (9-78) SanitaZT ~
Places Visited
Date tJ.;t//r,s &;, o
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Hours
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DAILY REPORT OF WEEKLY ACTIVITIES
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