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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: 4/1 1/23
i(JW WA5 1 HE PIKE REPOKIED AND BY WHOM:
Charlie noticed smoke comming from the pile.
LIST ACTIONS TAKEN:
:evin pushed to the edge of the pile & covered with dirt
VHAT WAS THE CAUSE OF THE FIRE:
lattery
@ 1109 hrs
)ESCRIBE AREA, TYPE, AND AMOUNT OF WASTE INVOLVED:
lid not have to disturb waste.
VHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE:
dways looking for hazards
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
Be aware
INAME:Tim Phelps TITLE: Landfill Supervisor DATE: 4/13123 I
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: James R. °'m'.,R Pke<dbY
D 38:A62pq 009 X❑ NO � Pike PHONE CALL � SUBMITTAL � MEETING � RETURN VISIT BY: (DATE)
1CTIONS TAKEN OR REQUIRED:
tevised 645.2DIA