NC0024406_Duke University File Access Record Form_20120111

STATE OF NORTH CAROLINA
Department of .Environment and Natural Resources
Raleigh Regional Office/ �'�r��i.4-/ F°�es
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FILE ACCESS RECORD
SECTION N P DES leer rn,41ri�_ DATE/TIME.
NAME 2U"l REPRESENTING DLAke ( n i ve risiv
Guidelines for Access: The staff of the Raleigh Regional Office is dedicated to making public
records in our custody readily available to the public for review and copying. We also have the
responsibility to the public to safeguard these records and to carry out our day-to-day program
obligations. Please readcarefully the following before signing the form.
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment for file review so you can be accommodated.
Appointments are scheduled between 9.00 a.m. and 3.00 p.m. Monday —Thursday. Viewing
time ends at 4:00 p.m. Anyone arriving without an appointment may view the files to the
extent that time and staff supervision are available.
2. You must specify files you want to review by facility name or incident numbers as appropriate.
The number of files that you may review at one appointment will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is 2.5 cents for ALL copies if making more than 25 copies - there is no charge if
less than 25 copies are made. Payment is to be made by check, money order, or cash in the
administrative offices.
4. FILES MUST BE KEPT IN THE ORDER YOU RECEIVED THEM. Files may not be taken
from the office. No briefcases large totes etc are permitted in the file review area. To
remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor for
which you can be fined up to $500.00.
5. In accordance with General Statute 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to reviewing
files.
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Signature and Name of Firm/Business Date Time In Time Out
Please attach a business card to this form if available