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~i i - ii ~ i- i ~~ii~ ~ ~ i ~ <br />rr ll --~~ rytCci)ed ~ <br />eDate~ '~-~~ ) <br />V aooo-003 <br />sss <br />INFORMATION <br />INITIALS <br />Due Date for Operator Comments: ~ ~ `' 2 12 ~ c10~ <br />(I 5 Days after Operator receives NOV) <br />R -I,.- ~u ~+, wt wrfs <br />I~ u < S -t tl- 0 U <br />Notice of Proposed Civil Penalty <br />(Due to Senior EPS for Penally Assessment 19 days after Issuance) tssv<J ylt~ <br />LAPS 4/26 <br />*Proposed Penalty Due: <br />(30 days from Issuance) ~4e II MAC UU <br />S'ti^ t S/~ ~00 <br />Proposed Penalty Amount: ~ 20pQ =' <br />Date Penalty Proposed: ~~0~~00 <br />Assessement Conference Request Due: <br />(Add 10 days to date Operator received Notice of Proposed <br />Penalty; If no request go to Fixed Penalty) R~equno) tiLx S~oS/oa <br />NOV Termination Date: May $ ~p <br />Assessment Conference Due Date: <br />(30 days from Receipt of Request) <br />~ ~8~00 <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) <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 Hewing Date: <br />Board Hearing Decision: <br />