WS-8004_37353_F_SLTA_20180608

TA#: 01

NCDEQ – Division of Waste Management – UST Section –Trust Fund Branch

TASK AUTHORIZATION
June 08, 2018

To: Terracon Incident Name: Baux Mountain 76
Contract #: N17003 Incident Number: TF-37353
Project Manager: Mark Miller Region: Winston-Salem
Phone Number: County: Forsyth
Fax Number: City: Winston-Salem

Authorized By: Herb Berger

Regional Ofc. Contact:
Phone Number: 919-707-8170 Phone Number: [phone]
Fax Number: Fax Number: [phone]

TOTAL TASK NOT TO EXCEED $3,480.00

TASK(S) TO BE PERFORMED:

Project review, receptor survey, sample five monitoring wells, mobe, report preparation and lab costs

DEADLINE FOR TASK COMPLETION: July 30, 2018