NC0026271_Regional Office Historical File Pre 2018 (32)

updated Feb 2018
Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# _0 G DD`Z
Incident Number from BIMS 201# Q OC)
A/0D - Zd, y PG
Spill Date Time l2 . D 0 am/�
Reported- Date 2, Time 3 0 am/6
Reported To SWP Staff or EM Staff bNUV l a �%17RNi
Reported By Vl V1 �5 _Phone aao
County�City
Cause of Spill
Total Estimated Gallons AGDO ©^ Est. Gal to Stream I D-D_y
Streama Vy ,�joj Fish Kill: Yes No Number Species
Non -Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
Il V_)/1 0A, I_hYI '?Tt i ;`A. 12—_ 1Gz0Yrj
1) MRO-PWS: Clint Cook or Mark Hahn verbal contact date/time
PWS Em. Cell Phone [phone] _ contact date/time
2) DHHS:
Alexander County — Keith Rowland [phone] contact date/time
All other Counties — Valerie Lott [phone] _contact dateltime
**If you are unable to reach Keith or Valerie,
call the 2417 On Call Number: 1-888-820-0520 contact dateltime
Optional DHHS contact (consult with Corey/Andrew before contacting):
Brian Combs [phone] contact dateltime

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