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NOV Issuance Date 5" o~y^ <br />iiiiiiiiiiuiiiiiii <br />Qaa <br /> INFORMATION INITIALS <br />Due Date for Operator Comments: <br />(I S Days after Operator receives NOV) <br />~~~ <br />~~„g <br />Notice of Proposed Civil Penalty <br />(Due to Senior EPS for Penalty Assessment 19 days after [ssuance) <br />*Proposed Penally Due: <br />(30 days from Issuance) <br />(y <br />Proposed Penalty Amount: ~ ~ <br />5~ O ~ ~ <br />Date Penalty Proposed: 'Deli+erul l~lrG!0o / <br />~OIr~?('vU ~/~ <br />Assessement Conference Request Due: <br />(Add 10 days to date Operator received Notice of Proposed <br />Penalty; [f no request go [o Fixed Penalty) <br /> <br />~ ~ <br />NOV Termination Date: a 9 o 5/3 <br />Assessment Conference Due Date: <br />(30 days from Receipt of Request) <br />Date Assessment Conference Held: <br />Settlement Amount: <br />Date Settlement Proposed: <br />Date Signed Settlement Due: <br />(10 days from Operator's receipt of settlement) <br />Settlement Signed Date: <br />Date Settlement Penalty Due: <br />(Due 30 days from Settlement Signed Date) <br />Settlement Penalty Amount Paid & Date: <br />Notice of Fixed Penalty (120 days from NOV Issuance) 9 a- I oa <br />Fixed Penalty Amount: <br />Date Notice of Fixed Penalty Sent: <br />Date of Penalty Due: <br />(30 days from Operator's receipt of notice) <br />Date Penalty Paid: r] ag d U <br />Paid Penalty Amount: t<r S6 D• d D <br />Date of Request for Formal Hearin, received: <br />Escrow Date: <br />Escrow Amount: <br />Board Hearing Date: <br />Board Hearing Decision: <br />