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NOV Issuance Date ~ _ 3 ~ ' ~ I III I II I II I II IIII III C v- 2 ~O I " ~ O Z <br />sss <br />INFORMATION <br />INITIALS <br />Due Date for Operator Comments: <br />(I 5 Days after Operator receives NOV) <br />Notice of Proposed Civil Penalty <br />(Due to Senior EPS for Penalty Assessment 19 days after Issuance) <br />z - 1 q -O 1 <br />*Proposed Penalty Due: <br />(30 days from Issuance) <br />~-Z - O % <br />Proposed Penalty Amount: ~~ <br />Date Penalty Proposed: ~ ~ ~ l <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) <br />NOV Termination Date: q L~ b r' <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 (I20 days from NOV Issuance) <br />Fixed Penalty Amount: <br />Date Notice of Fixed Penalry Sent: <br />Date of Penalty Due: <br />(30 days from Operator's receipt of notice) <br />Date Penalty Paid: 3~2,~ z60) M B <br />Paid Penalty Amount: <br />Date of Request for Formal Hearing received: <br />Escrow Date: <br />Escrow Amount: <br />Board Hearing Date: <br />