NC0026921_Facility Notification Report Form_20010907

FACILITY NOTTFICATIQN REPORT FORM
Date Notification Received: — 7 —/0/
Facility's Name & County: 4.,2-i-r�
Facility NPDES Permit No.; ge 69P 2i:9 /
Person Making Notification & Phone No.: � A 4
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Notification Taken By: -�.
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Type of Unit Out of Operation: j
Permit Limit Violations: / 11,-- r11:54 �,,:� 77°
Type of Notification:
Date of Field Visit:
Samples Taken: Yes: No:
Field Office Actions and/or Recommendations:
/1 -7/
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Other Sections Involved:
CC: ` .elinda Henson/Inspection_Files
Don Register _ ti
Dale Lopez/Tx Files
Kitty Kramer/DMR files
Paul Rawls