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NOV Issuance Date ~ ~-~ `~ III III'lllllllll111 C~U~ a~ -OQ"~ <br />999 <br />INFORMATION <br />INITIALS <br />Due Date for Operator Comments: <br />(I S Days after Operator receives NOV) <br />Notice of Proposed Civil Penalty <br />(Due to Senior EPS for Penalty Assessment 19 days after Issuance) <br />1 D ('~I ~~ <br />c~~ <br />*Proposed Penalty Due: <br />(30 days from Issuance) <br />~ 1 I I 00 <br />Proposed Penalty Amount: ~~~ D~ <br />Date Penalty Proposed: /O Z 5' a u <br />Assessement Conference Request Due: <br />(Add 10 days [o date Operator.received Notice of Proposed <br />Penalty; If no request go to Fixed Penalty) <br /> <br />~ ~ D ~0 ~ <br /> <br />~~J <br />NOV Termination Date: <br />Assessment Conference Due Date: <br />(30 days from Receipt of Request) <br />Z 3 00 <br />Date Assessment Conference Held: ~ 2 <br />Settlement Amount: ~ SO . O <br />Date Settlement Proposed: ~, ~ 0 <br />Date Signed Settlement Due: <br />(10 days from Operator's receipt of settlement) <br />~ I g <br />Settlement Signed Date: <br />Date Settlement Penalty Due: <br />(Due 30 days from Settlement Signed Date) <br />1' 3 0 <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 Heating Date: <br />