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NOV Issuance Date 3 ~ (1' I I III I II III I II IIII III ~ 1/~ ZLb~ - (~3 <br />999 <br />INFORMATION <br />INITIALS <br />Due Date for Operator Comments: <br />(I S Days after Operator receives NOV) <br />3/~. I <br />Notice of Proposed Civil Penalty <br />(Due to Senior EPS for Penalty Assessment 19 days after Issuance) <br />3~ 25 <br />*Proposed Penalty Due: <br />(30 days from Issuance) <br />`J <br />Proposed Penalty Amount: ~ ~/ <br />Date Penalty Proposed: 3 0( ~/t~j~ <br />Assessement Conference Request Due: <br />(Add 10 days to date Operator received Notice of Proposed <br />Penalty; If no request go [o Fixed Penalty) <br /> <br />~~ ~6/o j <br /> <br />D <br />NOV Termination Date: t{ ~ ry a j /, <br />Assessment Conference Due Date: <br />(30 days from Receipt of Request) <br />S~/6~o l <br />D <br />Date Assessment Conference Held: S~1$~o I .D <br />Settlement Amount: x`500. oa <br />Date Settlement Proposed: S /8 o I <br />Date Signed Settlement Due: <br />(I 0 days from Operator's receipt of settlement) <br />6~ y~o I ~ <br />Settlement Signed Date: S 30 of <br />Date Settlement Penalty Due: <br />(Due 30 days from Settlement Signed Date) <br />6~a9/off <br />f~ <br />Settlement Penalty Amount Paid & Date: -~SO6.00 6~5 0/ 1j <br />Notice of Fixed Penalty (120 days from NOV Issuance) - <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: <br />Paid Penalty Amount: - <br />Date of Request for Formal Hearing received: <br />Escrow Date: - <br />Escrow Amount-. - <br />Board Hearing Date: - <br />