NC0072877_Facility Notification Report Form_20010516

FACILITY NOTIFI ATION EPORT FORM
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Date Notification Received: /' /�'� /t 2Ca
Facility's Name & County:
Facility NPDES Permit No.;
Person Making Notification & Phone No.:'/`hl7G�-r�
Notification Taken By:
Type of Unit Out of Operation:. 4/ 1
Permit Limit Violations:
Type of Notification:
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Date of Field Visit:
Samples Taken: Yes: No:
Field Office Actions and/or Recommendations:
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Other Sections Involved:
CC: Belinda Henson/Inspection Files
Don Register
Dale Lopez/Tx Files
Kitty Kramer/DMR files
Paul Rawls