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ENFORCEMENT MAINTENANCE CODING FORM <br />*PERMITNO: C-~~- ~ 5 / <br />INFRACTION NO: CV -~Z -Q a <br />INSPECTION DATE: ~14 <br />INSPECTION TIME: <br />VACATION~OFNOV DATE: / / <br />INSPECTOR WITIALS: CSC <br />DATE ISSUED: ~ Z ~ ~ -~ 7 <br />INFRACTION CATEGORY: <br />PRIMARY TOPIC: ~~ <br />SECONDARY TOPIC: <br />TERTIARY TOPIC: <br />VIOLATION MODIFICATION 1 DATE: _ _ / _ _ / _ _ <br />VIOLATION MODIFICATION2DATE: _ _/_ _/_ <br />VIOLATION MODIFICATION 3 DATE: _ _ / _ _ / <br />ABATEMENTS: #I #2 <br />DATE DUE: ~Z-/0'~T7 (2'~q-~17 <br />EXTENDED DATE: --/--/-- --I--I-- <br />INFRACTEDDATE: --i--/-- --f--i-- <br />DOCUMENTS: / <br />Proposed Civil Penalty <br />Civil Penalty Worksheet ~ <br />Posting Notice Assessment Conference <br />Settlement Agreement <br />Notice & Order to Pay Fixed Penalty <br />Notice of Vacation of NOV <br />#3 <br />(a-19-97 <br />- -~- -~- - <br />- -~- -~- - <br />*This Form will be started by the DP person and put in specialist file. <br />~ These forms will be generated and put in file for use by Senior EPS in penalty assessment. <br />**This Form will be used in conjunction with the other NOV forms. <br />*•This Form is to be routed between DP person & Specialist until the NOV is completely finished with. <br />#4 <br />- -~- -~- - <br />- -~- -~- - <br />coal~shareUurmskcdi ng9. frm <br /> <br />~J <br />