5403_NC-FIRE-OCCURENCE-NOTICE_20220623

SOLID WASTE MANAGEMENT FACILITY FIRE OCCURRENCE NOTIFICATION •NCDEQ Division of Waste Management
Waste Management
ENVIRONMENTAL QUALITY
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: Lernw:Coirr&r 5)/:d (;.JJ.s-tre PERMIT# __ 5,.,,.</--"-'D3=----DATB AND TIME OF FIRE, 0 _ a.:t -cl8 1® _:.,/_.' J_.:;,,.,..,;:,,:o�· .,,..,,p:...:....• _(Y)____; •. _____ _HOW WAS THE .FIRE REPORTED AND BY WHOM:LIST ACTIONS TAKEN:�e.k__hoe th� -\-o ') (Y.>I
t�<e�v+ e.A.L� . �� \1 ooD WHAT WAS THE CAUSE OF THE FI.RE:-t-t (AV�O..., OJ\ (U-{ 0\ lo-6 ot-�v 01--+� ave0,.. C:-f]).DESCRIBE AREA, TYPE, AND AMOUNT'OF WASTE INVOLVED:WHAT COULD HA VE BEEN DONE TO PREVENT THIS FIRE:I '::> pon-fo, n e ou s co M bu.s-t;o viDESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS:. '\n�c.¾-�'"'5 \ 00-ds rnore e..,Lo�e.l1 c¼; s -wQS GA.. s�on+O(_ri€extr eoe.rt+
6-22-2022
6-23-2022
X 6-23-2022
Additional staff training to be held to review this fire event