760028_Complaint_20180308

CALL and COMPLAINT LOG
Division of Water Resources - Animal Waste
Winston-Salem Regional Office
Date Received: 31g
Time Received:
Staff Receiving call:
Facility Name:
Permit Number:
Contact Name:
Contact Phone/Email: ,3Ia.
416.5�, 3 23
Date Investigation Began:
Date Investigation Closed:
Was a violation documented Yes or No
Responsible Party:
Address: -
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Follow-up • .
Date and Type of Inspection(s)Conducted:
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Result of ..