5405T_FireOccurenceNotification_20240812

Waste Man.agement
ENVIRONMENTAL QUALITY SOLID WASTE MANAGEMENT FACILITY FIRE OCCURRENCE NOTIFICATION •NCDEQ Division of Waste ManagementSolid 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: L�D�{ b.dfy 'CorJ±, lf PERMIT# cy{J5/
DATEANDTIMEOFFIRE: ?)-10-ol,{ @ _/�:c0""-·�{A.�JY1_;_;,;_,. _____ _
HOW WAS THE FIRE REPORTED AND BY WHOM:
LIST ACTIONS TAKEN: b rt clctv;-t �0,'ClL[ec{ ---t-v°': i� 4{l£QY1 lA11S+ie u:t<.S 'remove
on ��s-� i!oov a.rd �p(a ed a,. Jk 11 •
WHAT WAS THE CAUSE OF THE FIRE:.
DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:
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8-12-2024
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Liz Patterson notified by phone on 8/12/2024 at 8:20AM. Fire Notification form submitted 8/12/2024 by email.